Cleveland Optical Dispensary, Inc.

LBN: Cleveland Optical Dispensary, Inc.
Cleveland Optical Dispensary, Inc. is an health care organization with primary practice located at 2415 Chambliss Ave Nw , Cleveland TN 37311-3882. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Cleveland Optical Dispensary, Inc. can be contacted via phone (423) 479-4397, or through Vandergriff, Maurise Gene via phone (423) 479-4397.

Contact Information

Primary practice address
2415 Chambliss Ave Nw Cleveland TN 37311-3882
Phone: (423) 479-4397
Fax: (423) 476-2974
Website:
Map and Directions
Authorized official contact:
Name: Vandergriff, Maurise Gene L.D.O.
Phone: (423) 479-4397

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X DPO636 Tennessee

Profile Details

NPI number 1760669147
LBN Legal business name Cleveland Optical Dispensary, Inc.
DBA Doing business as
Authorized official Vandergriff, Maurise Gene L.D.O.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 28th, 2008
Last updated Jan 28th, 2008 - about 18 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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