Black Optometric Eye Associates,Pa

LBN: Black Optometric Eye Associates,Pa
Black Optometric Eye Associates,Pa is an health care organization with primary practice located at 518 W John St , Matthews NC 28105-5353. 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. Black Optometric Eye Associates,Pa can be contacted via phone (704) 847-9833, or through Black, Deborah via phone (704) 847-9833.

Contact Information

Primary practice address
518 W John St Matthews NC 28105-5353
Fax:
Website:
Authorized official contact:
Name: Black, Deborah Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1176 North Carolina
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 1176 North Carolina

Profile Details

NPI number 1073788923
LBN Legal business name Black Optometric Eye Associates,Pa
DBA Doing business as
Authorized official Black, Deborah Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 22nd, 2008
Last updated Feb 21st, 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 1073788923 NPPES
North Carolina MEDICAID 8909106

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