Cynthia Lacy-Stallworth, O.D. Llc

LBN: Cynthia Lacy-Stallworth, O.D. Llc
Cynthia Lacy-Stallworth, O.D. Llc is an health care organization with primary practice located at 1615 S Loop W , Houston TX 77054-4814. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Cynthia Lacy-Stallworth, O.D. Llc can be contacted via phone (713) 796-2216, or through Lacy-Stallworth, Cynthia via phone (713) 734-5376.

Contact Information

Primary practice address
1615 S Loop W Houston TX 77054-4814
Phone: (713) 796-2216
Fax: (713) 383-7612
Website:
Map and Directions
Authorized official contact:
Name: Lacy-Stallworth, Cynthia Doctor of Optometry (OD)
Phone: (713) 734-5376

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X 06786T Texas

Profile Details

NPI number 1083814610
LBN Legal business name Cynthia Lacy-Stallworth, O.D. Llc
DBA Doing business as
Authorized official Lacy-Stallworth, Cynthia Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 23rd, 2007
Last updated Jul 23rd, 2007 - about 17 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 1083814610 NPPES
Pennsylvania MEDICAID 01560081

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