Crosstown Eyecare Llc
LBN: Crosstown Eyecare Llc
Crosstown Eyecare Llc is an health care organization with primary practice located at 990 S Marion St , Martinsville IN 46151-2438. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Crosstown Eyecare Llc can be contacted via phone (765) 342-5497, or through Moody, D. Penn via phone (765) 342-5497.
Contact Information
Primary practice address
990 S Marion St
Martinsville IN 46151-2438
Phone: (765) 342-5497
Fax: (765) 349-1922
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 18001808B | Indiana |
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X |
Profile Details
| NPI number | 1619148145 |
|---|---|
| LBN Legal business name | Crosstown Eyecare Llc |
| DBA Doing business as | |
| Authorized official | Moody, D. Penn Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 12th, 2008 |
| Last updated | Dec 14th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619148145 | NPPES |
| Indiana | Other | 02875 | SPECTERA |
| Indiana | Other | IN1808 | SPECTERA |
| Indiana | Other | 4434 | SPECTERA |
| Indiana | MEDICAID | 23091 | SPECTERA |
| Indiana | Other | 7653425497 | SPECTERA |
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