Berea Optical Llc

LBN: Berea Optical Llc
Berea Optical Llc is an health care organization with primary practice located at 400 Richmond Rd N Ste. F, Berea KY 40403-1015. The organization recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as the primary health care specialty. Berea Optical Llc can be contacted via phone (859) 985-0044, or through Frank, Reba June via phone (859) 985-0044.

Contact Information

Primary practice address
400 Richmond Rd N Ste. F Berea KY 40403-1015
Fax: (859) 985-0045
Website:
Authorized official contact:
Name: Frank, Reba June

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X KY 1075 Kentucky

Profile Details

NPI number 1316162019
LBN Legal business name Berea Optical Llc
DBA Doing business as
Authorized official Frank, Reba June
Entity Organization
Organization subpart 1 No
Enumeration date Apr 16th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1316162019 NPPES
Kentucky Other KY 1075 EYEMED
Kentucky MEDICAID 52000130 EYEMED

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