Optometry Eye Care Centet Dr. B Wagner Od
LBN: Barry A Wagner Od A Professional Corporation
Optometry Eye Care Centet Dr. B Wagner Od is an health care organization with primary practice located at 12000 Victory Blvd , North Hollywwod CA 91606. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
Barry A Wagner Od A Professional Corporation can be contacted via phone (818) 985-2321, or through Wagner, Barry Alan via phone (818) 985-2321.
Contact Information
Primary practice address
12000 Victory Blvd
North Hollywwod CA 91606
Phone: (818) 985-2321
Fax: (818) 985-6873
Website:
Authorized official contact:
Name: Wagner, Barry Alan Doctor of Optometry (OD)
Phone: (818) 985-2321
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | California |
Profile Details
| NPI number | 1881815777 |
|---|---|
| LBN Legal business name | Barry A Wagner Od A Professional Corporation |
| DBA Doing business as | Optometry Eye Care Centet Dr. B Wagner Od |
| Authorized official | Wagner, Barry Alan Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 1st, 2007 |
| Last updated | Oct 3rd, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881815777 | NPPES |
| California | MEDICAID | SD0051040 | |
| California | MEDICAID | GSD005410 |
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