Crestwood Optical

LBN: Crestwood Optical
Crestwood Optical is an health care organization with primary practice located at 8078 Sudley Rd , Manassas VA 20109. The organization recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as the primary health care specialty. Crestwood Optical can be contacted via phone (703) 369-1616, or through Keller, Eric W via phone (703) 369-1616.

Contact Information

Primary practice address
8078 Sudley Rd Manassas VA 20109
Phone: (703) 369-1616
Fax: (703) 369-7902
Website:
Map and Directions
Authorized official contact:
Name: Keller, Eric W OPTICIAN
Phone: (703) 369-1616

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 967 Virginia

Profile Details

NPI number 1275550089
LBN Legal business name Crestwood Optical
DBA Doing business as
Authorized official Keller, Eric W OPTICIAN
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2006
Last updated Jun 20th, 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 1275550089 NPPES
Virginia MEDICAID 9282831

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