Pioneer Optical

LBN: Center Optical, Inc.
Pioneer Optical is an health care organization with primary practice located at 132 N Central Ave , Richland Center WI 53581-2225. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Optician. Eye and Vision Services Providers / Optometrist is the primary health care specialty. Center Optical, Inc. can be contacted via phone (608) 647-7369, or through Hein, Judy Ann via phone (608) 647-7369.

Contact Information

Primary practice address
132 N Central Ave Richland Center WI 53581-2225
Fax: (608) 647-2292
Website:
Authorized official contact:
Name: Hein, Judy Ann

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X MD88588 Wisconsin
Eye and Vision Services Providers / Optician 156FX1800X 03945 Wisconsin

Profile Details

NPI number 1194736892
LBN Legal business name Center Optical, Inc.
DBA Doing business as Pioneer Optical
Authorized official Hein, Judy Ann
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Jan 29th, 2008 - about 16 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 1194736892 NPPES
Wisconsin MEDICAID 38718500
Wisconsin Other 1044060
Wisconsin Other 098002
Wisconsin Other 38718500

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