Decleene Optometry, Inc.

LBN: Decleene Optometry, Inc.
Decleene Optometry, Inc. is an health care organization with primary practice located at 608 E Boulevard , Kokomo IN 46902-2286. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Decleene Optometry, Inc. can be contacted via phone (765) 453-5005, or through Decleene, Frank M. via phone (765) 453-5005.

Contact Information

Primary practice address
608 E Boulevard Kokomo IN 46902-2286
Phone: (765) 453-5005
Fax: (765) 453-8937
Website:
Map and Directions
Authorized official contact:
Name: Decleene, Frank M. Doctor of Optometry (OD)
Phone: (765) 453-5005

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18002523A Indiana

Profile Details

NPI number 1780739540
LBN Legal business name Decleene Optometry, Inc.
DBA Doing business as
Authorized official Decleene, Frank M. Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2007
Last updated Nov 6th, 2014 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780739540 NPPES
Indiana MEDICAID 100420590A
Indiana MEDICAID 100341590
Indiana MEDICAID 100341640

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