Balog Bremen Vision Center P C

LBN: Balog Bremen Vision Center P C
Balog Bremen Vision Center P C is an health care organization with primary practice located at 1425 W Plymouth St , Bremen IN 46506-1951. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is the primary health care specialty. Balog Bremen Vision Center P C can be contacted via phone (574) 546-3820, or through Balog, Carolyn M via phone (574) 546-3820.

Contact Information

Primary practice address
1425 W Plymouth St Bremen IN 46506-1951
Phone: (574) 546-3820
Fax: (574) 546-3810
Website:
Map and Directions
Authorized official contact:
Name: Balog, Carolyn M Doctor of Optometry (OD)
Phone: (574) 546-3820

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18001983A Indiana
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 18001983A Indiana

Profile Details

NPI number 1922104660
LBN Legal business name Balog Bremen Vision Center P C
DBA Doing business as
Authorized official Balog, Carolyn M Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2006
Last updated Jan 22nd, 2008 - about 17 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 1922104660 NPPES
Indiana Other DA1502 RAILROAD MEDICARE

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