Capital Region Physicians - Family Eye Care

LBN: Capital Region Medical Center
Capital Region Physicians - Family Eye Care is an health care organization with primary practice located at 1432 Southwest Blvd , Jefferson City MO 65109. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Capital Region Medical Center can be contacted via phone (573) 632-5576, or through Luebbering, Tom via phone (573) 632-5100.

Contact Information

Primary practice address
1432 Southwest Blvd Jefferson City MO 65109
Phone: (573) 632-5576
Fax: (573) 632-5860
Website:
Map and Directions
Authorized official contact:
Name: Luebbering, Tom
Phone: (573) 632-5100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1053385096
LBN Legal business name Capital Region Medical Center
DBA Doing business as Capital Region Physicians - Family Eye Care
Authorized official Luebbering, Tom
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2006
Last updated Aug 23rd, 2013 - about 12 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 1053385096 NPPES
Missouri MEDICAID 506023209
Missouri Other CU0751

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