Antonin Ocular Prosthetics, Llc

LBN: Antonin Ocular Prosthetics, Llc
Antonin Ocular Prosthetics, Llc is an health care organization with primary practice located at 70 Brookshire Lane Blaydes Clinic, Beckley WV 25801. The organization recently has only one registered license in Eye and Vision Services Providers / Ocularist, which is considered as the primary health care specialty. Antonin Ocular Prosthetics, Llc can be contacted via phone (304) 994-0719, or through Antonini, Christopher via phone (304) 594-0719.

Contact Information

Primary practice address
70 Brookshire Lane Blaydes Clinic Beckley WV 25801
Phone: (304) 994-0719
Fax: (304) 241-1858
Website:
Map and Directions
Authorized official contact:
Name: Antonini, Christopher
Phone: (304) 594-0719

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Ocularist 156FX1700X

Profile Details

NPI number 1417371717
LBN Legal business name Antonin Ocular Prosthetics, Llc
DBA Doing business as
Authorized official Antonini, Christopher
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 7th, 2014
Last updated Feb 7th, 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 1417371717 NPPES
West Virginia MEDICAID 1366714511

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