Angeles Vision Clinic, Inc.
LBN: Angeles Vision Clinic, Inc.
Angeles Vision Clinic, Inc. is an health care organization with primary practice located at 811 Georgiana St , Port Angeles WA 98362-3511. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Durable Medical Equipment & Medical Supplies. Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Angeles Vision Clinic, Inc. can be contacted via phone (360) 452-7661, or through Thompson, Kirk L. via phone (360) 452-7661.
Contact Information
Primary practice address
811 Georgiana St
Port Angeles WA 98362-3511
Phone: (360) 452-7661
Fax: (360) 417-0254
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 1267TX | Washington |
Profile Details
| NPI number | 1265607071 |
|---|---|
| LBN Legal business name | Angeles Vision Clinic, Inc. |
| DBA Doing business as | |
| Authorized official | Thompson, Kirk L. Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 23rd, 2008 |
| Last updated | Nov 8th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265607071 | NPPES |
| Washington | MEDICAID | 2025484 |
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