Drtavel Family Eye Care

LBN: City Optical Co., Inc.
Drtavel Family Eye Care is an health care organization with primary practice located at 1164 S 17Th Street , Kokomo IN 46902-1901. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. City Optical Co., Inc. can be contacted via phone (765) 457-5384, or through Tavel, Larry S via phone (317) 924-1300.

Contact Information

Primary practice address
1164 S 17Th Street Kokomo IN 46902-1901
Phone: (765) 457-5384
Fax: (317) 924-3741
Website:
Map and Directions
Authorized official contact:
Name: Tavel, Larry S Doctor of Medicine (MD)
Phone: (317) 924-1300

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 01022315 Indiana
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1912996091
LBN Legal business name City Optical Co., Inc.
DBA Doing business as Drtavel Family Eye Care
Authorized official Tavel, Larry S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2005
Last updated Oct 27th, 2021 - about 3 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 1912996091 NPPES
Indiana MEDICAID 100136700A

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