Vison Source Of Bowling Green
LBN: Breiwa Ware & Jeskie Psc
Vison Source Of Bowling Green is an health care organization with primary practice located at 335 New Towne Rd , Bowling Green KY 42103-7966. 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.
Breiwa Ware & Jeskie Psc can be contacted via phone (270) 842-0383, or through Breiwa, John N. via phone (270) 842-0383.
Contact Information
Primary practice address
335 New Towne Rd
Bowling Green KY 42103-7966
Phone: (270) 842-0383
Fax: (270) 842-0485
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X |
Profile Details
| NPI number | 1841331691 |
|---|---|
| LBN Legal business name | Breiwa Ware & Jeskie Psc |
| DBA Doing business as | Vison Source Of Bowling Green |
| Authorized official | Breiwa, John N. Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 12th, 2007 |
| Last updated | Sep 21st, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841331691 | NPPES |
| Kentucky | MEDICAID | 7100253310 | |
| Kentucky | Other | 06622 |
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