Brondstaters Optical America

LBN: Brondstaters Optical America
Brondstaters Optical America is an health care organization with primary practice located at 800 Foxcroft Avenue Suite 914, Martinsburg WV 25401. 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. Brondstaters Optical America can be contacted via phone (304) 263-2020, or through Brondstater, Philip Bradford via phone (304) 263-2020.

Contact Information

Primary practice address
800 Foxcroft Avenue Suite 914 Martinsburg WV 25401
Fax: (304) 263-2935
Website:
Authorized official contact:
Name: Brondstater, Philip Bradford

Health care specialties

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

Profile Details

NPI number 1710078225
LBN Legal business name Brondstaters Optical America
DBA Doing business as
Authorized official Brondstater, Philip Bradford
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1710078225 NPPES
West Virginia Other WV10170 VBA
West Virginia Other 338639 VBA
West Virginia MEDICAID 3810002980 VBA
West Virginia Other VA0031 VBA
West Virginia Other 16784 VBA
West Virginia Other 501161 VBA

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