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
Phone: (231) 929-3888
Fax: (231) 929-4365
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215157367 | NPPES |
| Michigan | Other | 180B86357 | BCBSM |
| Michigan | Other | 900B863470 | BCBSM |
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