Aurora Vision Center - Port Washington

LBN: Aurora Health Care Ventures Inc.
Aurora Vision Center - Port Washington is an health care organization with primary practice located at 1777 W Grand Ave Suite 103, Port Washington WI 53074-2077. 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. Aurora Health Care Ventures Inc. can be contacted via phone (262) 284-3456, or through Pantel, Mary via phone (920) 803-3266.

Contact Information

Primary practice address
1777 W Grand Ave Suite 103 Port Washington WI 53074-2077
Phone: (262) 284-3456
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pantel, Mary
Phone: (920) 803-3266

Health care specialties

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

Profile Details

NPI number 1932565868
LBN Legal business name Aurora Health Care Ventures Inc.
DBA Doing business as Aurora Vision Center - Port Washington
Authorized official Pantel, Mary
Entity Organization
Organization subpart 1 No
Enumeration date Jan 7th, 2016
Last updated Oct 3rd, 2023 - about 2 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 1932565868 NPPES
Wisconsin MEDICAID 100097969

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