New Vista Eyecare

LBN: Cardinal Family Eye Care Llc
New Vista Eyecare is an health care organization with primary practice located at 331 E Prairie View Rd , Chippewa Falls WI 54729-3463. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Cardinal Family Eye Care Llc can be contacted via phone (715) 726-9077, or through Vergin, Jacob B via phone (715) 861-5253.

Contact Information

Primary practice address
331 E Prairie View Rd Chippewa Falls WI 54729-3463
Phone: (715) 726-9077
Fax: (715) 726-9173
Website:
Map and Directions
Authorized official contact:
Name: Vergin, Jacob B Doctor of Optometry (OD)
Phone: (715) 861-5253

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3081-035 Wisconsin

Profile Details

NPI number 1699969410
LBN Legal business name Cardinal Family Eye Care Llc
DBA Doing business as New Vista Eyecare
Authorized official Vergin, Jacob B Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 5th, 2007
Last updated Feb 21st, 2008 - about 17 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 1699969410 NPPES
Wisconsin MEDICAID 38726600

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