Edgewood Eye Center

LBN: Carol Lynn Deitz O D Inc
Edgewood Eye Center is an health care organization with primary practice located at 581 Dudley Rd. , Edgewood KY 41017-3296. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is the primary health care specialty. Carol Lynn Deitz O D Inc can be contacted via phone (859) 341-0888, or through King, Sheila J via phone (859) 341-0888.

Contact Information

Primary practice address
581 Dudley Rd. Edgewood KY 41017-3296
Phone: (859) 341-0888
Fax: (859) 341-3386
Website:
Map and Directions
Authorized official contact:
Name: King, Sheila J
Phone: (859) 341-0888

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1134DT Kentucky
Eye and Vision Services Providers / Vision Therapy 152WV0400X 1134DT Kentucky

Profile Details

NPI number 1821268392
LBN Legal business name Carol Lynn Deitz O D Inc
DBA Doing business as Edgewood Eye Center
Authorized official King, Sheila J
Entity Organization
Organization subpart 1 No
Enumeration date Mar 11th, 2008
Last updated Jun 28th, 2016 - about 8 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 1821268392 NPPES
Kentucky Other 000000049502 BLUE CROSS BLUE SHIELD

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