C. Justin Holcomb, Od, Llc

LBN: C. Justin Holcomb, Od, Llc
C. Justin Holcomb, Od, Llc is an health care organization with primary practice located at 10315 Silverdale Way Nw , Silverdale WA 98383-7670. The organization recently has 2 registered licenses in different health care specialties including Managed Care Organizations / Preferred Provider Organization, Managed Care Organizations / Point of Service. Managed Care Organizations / Preferred Provider Organization is the primary health care specialty. C. Justin Holcomb, Od, Llc can be contacted via phone (360) 698-0284, or through Holcomb, Christopher Justin via phone (305) 785-1886.

Contact Information

Primary practice address
10315 Silverdale Way Nw Silverdale WA 98383-7670
Phone: (360) 698-0284
Fax: (360) 698-0284
Website:
Map and Directions
Authorized official contact:
Name: Holcomb, Christopher Justin Doctor of Optometry (OD)
Phone: (305) 785-1886

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X OD60102641 Washington
Managed Care Organizations / Preferred Provider Organization 305R00000X OPC4902 Florida
Managed Care Organizations / Point of Service 305S00000X OD60102641 Washington

Profile Details

NPI number 1023330370
LBN Legal business name C. Justin Holcomb, Od, Llc
DBA Doing business as
Authorized official Holcomb, Christopher Justin Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2010
Last updated Jun 23rd, 2015 - about 9 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 1023330370 NPPES
Florida MEDICAID 013564100

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