Classic Eyeware

LBN: Classic Eyeware
Classic Eyeware is an health care organization with primary practice located at 935 E Westpoint Dr Ste 207, Wasilla AK 99654. The organization recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as the primary health care specialty. Classic Eyeware can be contacted via phone (907) 376-9173, or through Mcdaneld, Elizabeth via phone (907) 376-9173.

Contact Information

Primary practice address
935 E Westpoint Dr Ste 207 Wasilla AK 99654
Fax: (907) 376-8180
Website:
Authorized official contact:
Name: Mcdaneld, Elizabeth

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 172 Alaska

Profile Details

NPI number 1013085539
LBN Legal business name Classic Eyeware
DBA Doing business as
Authorized official Mcdaneld, Elizabeth
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2006
Last updated Jun 19th, 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 1013085539 NPPES
Alaska MEDICAID OD0090

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