Distinctive Eyewear, Inc.

LBN: Distinctive Eyewear, Inc.
Distinctive Eyewear, Inc. is an health care organization with primary practice located at 1280 S 9Th St , Saint Clair MI 48079-5368. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Distinctive Eyewear, Inc. can be contacted via phone (810) 329-9725, or through Moore, Elizabeth Ann via phone (810) 329-9725.

Contact Information

Primary practice address
1280 S 9Th St Saint Clair MI 48079-5368
Phone: (810) 329-9725
Fax: (810) 329-3491
Website:
Map and Directions
Authorized official contact:
Name: Moore, Elizabeth Ann CPOT
Phone: (810) 329-9725

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4901002751 Michigan

Profile Details

NPI number 1336179597
LBN Legal business name Distinctive Eyewear, Inc.
DBA Doing business as
Authorized official Moore, Elizabeth Ann CPOT
Entity Organization
Organization subpart 1 No
Enumeration date Jul 4th, 2006
Last updated Apr 10th, 2015 - about 9 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 1336179597 NPPES
Michigan Other 101422 GREAT LAKES HEALTH PLAN
Michigan Other 13314 GREAT LAKES HEALTH PLAN
Michigan Other 900G467000 GREAT LAKES HEALTH PLAN
Michigan Other MI2751 GREAT LAKES HEALTH PLAN
Michigan Other MI02751 GREAT LAKES HEALTH PLAN
Michigan MEDICAID 943020464 GREAT LAKES HEALTH PLAN
Michigan Other 12065 GREAT LAKES HEALTH PLAN
Michigan Other 25289 GREAT LAKES HEALTH PLAN
Michigan Other GK490100 GREAT LAKES HEALTH PLAN
Michigan Other 145807 GREAT LAKES HEALTH PLAN
Michigan Other 146505 GREAT LAKES HEALTH PLAN
Michigan MEDICAID 3020464 GREAT LAKES HEALTH PLAN

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