Barton M Pedersen O.D. An Optometric Corporation

LBN: Barton M Pedersen O.D. An Optometric Corporation
Barton M Pedersen O.D. An Optometric Corporation is an health care organization with primary practice located at 56970 Yucca Trl # S-101 , Yucca Valley CA 92284-3753. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Barton M Pedersen O.D. An Optometric Corporation can be contacted via phone (760) 228-2020, or through Pedersen, Barton M. via phone (760) 228-2020.

Contact Information

Primary practice address
56970 Yucca Trl # S-101 Yucca Valley CA 92284-3753
Phone: (760) 228-2020
Fax: (760) 369-2020
Website:
Map and Directions
Authorized official contact:
Name: Pedersen, Barton M. Doctor of Optometry (OD)
Phone: (760) 228-2020

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT4600T California

Profile Details

NPI number 1124224589
LBN Legal business name Barton M Pedersen O.D. An Optometric Corporation
DBA Doing business as
Authorized official Pedersen, Barton M. Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2007
Last updated Feb 25th, 2010 - about 15 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 1124224589 NPPES
California Other 1134103484 DENNIS G. LOWMAN O.D.
California Other 1215911565 DENNIS G. LOWMAN O.D.
California Other 1336123686 DENNIS G. LOWMAN O.D.
California Other 410004661 DENNIS G. LOWMAN O.D.
California Other ZZZ696612 DENNIS G. LOWMAN O.D.
California MEDICAID SD0046000 DENNIS G. LOWMAN O.D.
California MEDICAID SD0045740 DENNIS G. LOWMAN O.D.
California Other 1124224589 DENNIS G. LOWMAN O.D.
California MEDICAID SD0121830 DENNIS G. LOWMAN O.D.
California Other 1043294929 DENNIS G. LOWMAN O.D.

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