Advantage Optical, Inc.

LBN: Advantage Optical, Inc.
Advantage Optical, Inc. is an health care organization with primary practice located at 502 Main St , Oregon City OR 97045-1811. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Advantage Optical, Inc. can be contacted via phone (503) 650-1839, or through Ladouceur, Monica via phone (503) 650-1839.

Contact Information

Primary practice address
502 Main St Oregon City OR 97045-1811
Fax: (503) 650-5357
Website:
Authorized official contact:
Name: Ladouceur, Monica Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3267ATI Oregon

Profile Details

NPI number 1720416944
LBN Legal business name Advantage Optical, Inc.
DBA Doing business as
Authorized official Ladouceur, Monica Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2013
Last updated May 22nd, 2014 - about 10 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 1720416944 NPPES
Oregon MEDICAID 500671079

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