Pro Optical

LBN: Dcj Company
Pro Optical is an health care organization with primary practice located at 200 S Main St Suite 11, West Lebanon NH 03784-2014. 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. Dcj Company can be contacted via phone (603) 298-5517, or through Haselton, Daniel via phone (603) 298-5517.

Contact Information

Primary practice address
200 S Main St Suite 11 West Lebanon NH 03784-2014
Phone: (603) 298-5517
Fax: (603) 298-7898
Website:
Map and Directions
Authorized official contact:
Name: Haselton, Daniel OPTICIAN
Phone: (603) 298-5517

Health care specialties

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

Profile Details

NPI number 1710917182
LBN Legal business name Dcj Company
DBA Doing business as Pro Optical
Authorized official Haselton, Daniel OPTICIAN
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2006
Last updated Jul 21st, 2022 - about 2 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 1710917182 NPPES
New Hampshire MEDICAID 30008903
New Hampshire MEDICAID 1000922

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