Anderson Professional Eyecare Llc

LBN: Anderson Professional Eyecare Llc
Anderson Professional Eyecare Llc is an health care organization with primary practice located at 412 Us Highway 80 Sw , Pooler GA 31322-2541. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Anderson Professional Eyecare Llc can be contacted via phone (912) 748-3937, or through Anderson, Benjamin Duncan via phone (912) 748-3937.

Contact Information

Primary practice address
412 Us Highway 80 Sw Pooler GA 31322-2541
Phone: (912) 748-3937
Fax: (912) 748-6758
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Benjamin Duncan LDO
Phone: (912) 748-3937

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 1696 Georgia

Profile Details

NPI number 1982817730
LBN Legal business name Anderson Professional Eyecare Llc
DBA Doing business as
Authorized official Anderson, Benjamin Duncan LDO
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2007
Last updated May 25th, 2010 - about 15 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 1982817730 NPPES
Georgia MEDICAID 670525139A

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