Michael L Korthals

LBN: Clear Lake Optics Corp
Michael L Korthals is an health care organization with primary practice located at 422 S Pierce Ave Ste 100A , Mason City IA 50401-2709. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Clear Lake Optics Corp can be contacted via phone (641) 424-0780, or through Korthals, Mike L via phone (641) 424-0780.

Contact Information

Primary practice address
422 S Pierce Ave Ste 100A Mason City IA 50401-2709
Phone: (641) 424-0780
Fax: (641) 424-2345
Website:
Map and Directions
Authorized official contact:
Name: Korthals, Mike L
Phone: (641) 424-0780

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 02146 Iowa

Profile Details

NPI number 1679767339
LBN Legal business name Clear Lake Optics Corp
DBA Doing business as Michael L Korthals
Authorized official Korthals, Mike L
Entity Organization
Organization subpart 1 No
Enumeration date Sep 5th, 2007
Last updated Dec 14th, 2023 - about 2 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 1679767339 NPPES
Iowa Other DB8928 RAILROAD MEDICARE
Iowa MEDICAID 1204016 RAILROAD MEDICARE
Iowa Other 35096 RAILROAD MEDICARE

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