Cabana Eyes Optical
LBN: Cabana Eyes Optical
Cabana Eyes Optical is an health care organization with primary practice located at 4100 S Ferdon Blvd Suite B5, Crestview FL 32536-5252. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Medical Specialty, Suppliers / Eyewear Supplier (Equipment, not the service). Suppliers / Eyewear Supplier (Equipment, not the service) is the primary health care specialty.
Cabana Eyes Optical can be contacted via phone (850) 758-0474, or through Mitchell, Edward via phone (850) 758-0474.
Contact Information
Primary practice address
4100 S Ferdon Blvd Suite B5
Crestview FL 32536-5252
Phone: (850) 758-0474
Fax: (850) 826-0057
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X | ||
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X |
Profile Details
| NPI number | 1154867554 |
|---|---|
| LBN Legal business name | Cabana Eyes Optical |
| DBA Doing business as | |
| Authorized official | Mitchell, Edward LDO |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jan 10th, 2017 |
| Last updated | Oct 23rd, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154867554 | NPPES |
| Florida | MEDICAID | 003088900 |
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