Bay Optical Laboratory Corp.

LBN: Bay Optical Laboratory Corp.
Bay Optical Laboratory Corp. is an health care organization with primary practice located at 3587 Broadway St , North Bend OR 97459-1251. 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. Bay Optical Laboratory Corp. can be contacted via phone (541) 756-2571, or through Van Elsberg, Lily M. via phone (541) 756-2571.

Contact Information

Primary practice address
3587 Broadway St North Bend OR 97459-1251
Fax: (541) 756-3976
Website:
Authorized official contact:
Name: Van Elsberg, Lily M.

Health care specialties

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

Profile Details

NPI number 1407898026
LBN Legal business name Bay Optical Laboratory Corp.
DBA Doing business as
Authorized official Van Elsberg, Lily M.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2006
Last updated Jul 16th, 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 1407898026 NPPES
Oregon MEDICAID 012641
Oregon Other 0009759000

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