Blue Moon Optical

LBN: Blue Moon Optical
Blue Moon Optical is an health care organization with primary practice located at 121 W San Antonio St , San Marcos TX 78666-5551. The organization recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as the primary health care specialty. Blue Moon Optical can be contacted via phone (805) 710-2445, or through Duffy, Michael Patrick via phone (805) 710-2445.

Contact Information

Primary practice address
121 W San Antonio St San Marcos TX 78666-5551
Phone: (805) 710-2445
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Duffy, Michael Patrick Doctor of Osteopathy (DO)
Phone: (805) 710-2445

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 189067 Texas

Profile Details

NPI number 1174940464
LBN Legal business name Blue Moon Optical
DBA Doing business as Blue Moon Optical
Authorized official Duffy, Michael Patrick Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 25th, 2014
Last updated Mar 25th, 2014 - about 10 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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