Ssm Health Davis Duehr Dean Eye Care - Janesville
LBN: Dean Retail Services, Inc.
Ssm Health Davis Duehr Dean Eye Care - Janesville is an health care organization with primary practice located at 3200 E Racine St Suite 200, Janesville WI 53546-2343. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optician, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optician is the primary health care specialty.
Dean Retail Services, Inc. can be contacted via phone (608) 371-8000, or through Grinnell, Amy J via phone (608) 260-3586.
Contact Information
Primary practice address
3200 E Racine St Suite 200
Janesville WI 53546-2343
Phone: (608) 371-8000
Fax: (608) 371-8834
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | Wisconsin | |
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X | Wisconsin |
Profile Details
| NPI number | 1679696421 |
|---|---|
| LBN Legal business name | Dean Retail Services, Inc. |
| DBA Doing business as | Ssm Health Davis Duehr Dean Eye Care - Janesville |
| Authorized official | Grinnell, Amy J |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 9th, 2007 |
| Last updated | Aug 3rd, 2020 - about 5 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 | 1679696421 | NPPES |
| Wisconsin | MEDICAID | 100048656 |
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