Cedar Run Eye Center Optical

LBN: Cedar Run Eye Center Optical
Cedar Run Eye Center Optical is an health care organization with primary practice located at 3830 W Front St , Traverse City MI 49684-8153. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Suppliers / Eyewear Supplier (Equipment, not the service) is the primary health care specialty. Cedar Run Eye Center Optical can be contacted via phone (231) 929-3888, or through Grochowalski, Jennifer via phone (231) 929-3888.

Contact Information

Primary practice address
3830 W Front St Traverse City MI 49684-8153
Fax: (231) 929-4365
Website:
Authorized official contact:
Name: Grochowalski, Jennifer

Health care specialties

Profile Details

NPI number 1215157367
LBN Legal business name Cedar Run Eye Center Optical
DBA Doing business as
Authorized official Grochowalski, Jennifer
Entity Organization
Organization subpart 1 No
Enumeration date Apr 30th, 2007
Last updated Nov 30th, 2009 - about 15 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 1215157367 NPPES
Michigan Other 180B86357 BCBSM
Michigan Other 900B863470 BCBSM

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