Decatur Optical Dispensary

LBN: Decatur Optical Dispensary
Decatur Optical Dispensary is an health care organization with primary practice located at 201 6Th Ave Se , Decatur AL 35601-3115. 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. Decatur Optical Dispensary can be contacted via phone (256) 351-0040, or through Holbert, Jack Lynn via phone (256) 351-0040.

Contact Information

Primary practice address
201 6Th Ave Se Decatur AL 35601-3115
Phone: (256) 351-0040
Fax: (256) 301-9449
Website:
Map and Directions
Authorized official contact:
Name: Holbert, Jack Lynn
Phone: (256) 351-0040

Health care specialties

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

Profile Details

NPI number 1629014469
LBN Legal business name Decatur Optical Dispensary
DBA Doing business as
Authorized official Holbert, Jack Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2006
Last updated Jan 14th, 2015 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1629014469 NPPES
Alabama MEDICAID 000059076

Popular Providers