152W00000X - Optometrist North Phoenix Eye Care

LBN: 152W00000X - Optometrist North Phoenix Eye Care
152W00000X - Optometrist North Phoenix Eye Care is an health care organization with primary practice located at 19401 N Cave Creek Rd #7, Phoenix AZ 85024-1801. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. 152W00000X - Optometrist North Phoenix Eye Care can be contacted via phone (623) 229-8185, or through Siegel, Donald Joseph via phone (623) 544-3877.

Contact Information

Primary practice address
19401 N Cave Creek Rd #7 Phoenix AZ 85024-1801
Phone: (623) 229-8185
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Siegel, Donald Joseph Doctor of Optometry (OD)
Phone: (623) 544-3877

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1649411018
LBN Legal business name 152W00000X - Optometrist North Phoenix Eye Care
DBA Doing business as
Authorized official Siegel, Donald Joseph Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 16th, 2009
Last updated Mar 16th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649411018 NPPES
Arizona MEDICAID 627713

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