Boutique Optic, Llc

LBN: Boutique Optic, Llc
Boutique Optic, Llc is an health care organization with primary practice located at 2459 Nicholasville Rd , Lexington KY 40503-3158. 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. Boutique Optic, Llc can be contacted via phone (859) 278-9486, or through Dudee, Jitander S via phone (859) 278-9486.

Contact Information

Primary practice address
2459 Nicholasville Rd Lexington KY 40503-3158
Phone: (859) 278-9486
Fax: (888) 500-3329
Website:
Map and Directions
Authorized official contact:
Name: Dudee, Jitander S Doctor of Medicine (MD)
Phone: (859) 278-9486

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 067211006 Kentucky

Profile Details

NPI number 1952540692
LBN Legal business name Boutique Optic, Llc
DBA Doing business as
Authorized official Dudee, Jitander S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 19th, 2009
Last updated Mar 23rd, 2011 - about 14 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 1952540692 NPPES
Kentucky MEDICAID PENDING

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