Gregory Optical

LBN: Clyson, Pc
Gregory Optical is an health care organization with primary practice located at 904 N Wisner St , Jackson MI 49202-3144. 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. Clyson, Pc can be contacted via phone (517) 782-9388, or through Swartzlander, Rita via phone (517) 782-9388.

Contact Information

Primary practice address
904 N Wisner St Jackson MI 49202-3144
Fax: (517) 782-9018
Website:
Authorized official contact:
Name: Swartzlander, Rita

Health care specialties

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

Profile Details

NPI number 1063406510
LBN Legal business name Clyson, Pc
DBA Doing business as Gregory Optical
Authorized official Swartzlander, Rita
Entity Organization
Organization subpart 1 No
Enumeration date Sep 9th, 2005
Last updated Dec 15th, 2017 - about 7 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 1063406510 NPPES
Michigan Other 540C810940 BCBS OF MICHIGAN

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