Village Optical

LBN: Dr Kevin Anderson & Associates, Pc.
Village Optical is an health care organization with primary practice located at 4103 Boardwalk Dr Suite 100, Fort Collins CO 80525-5931. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Durable Medical Equipment & Medical Supplies. Eye and Vision Services Providers / Optometrist is the primary health care specialty. Dr Kevin Anderson & Associates, Pc. can be contacted via phone (970) 223-0592, or through Welborn, Debi via phone (970) 223-0592.

Contact Information

Primary practice address
4103 Boardwalk Dr Suite 100 Fort Collins CO 80525-5931
Fax: (970) 377-1082
Website:
Authorized official contact:
Name: Welborn, Debi

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT 1342 Colorado
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X CO1342 Colorado

Profile Details

NPI number 1346422607
LBN Legal business name Dr Kevin Anderson & Associates, Pc.
DBA Doing business as Village Optical
Authorized official Welborn, Debi
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 28th, 2007
Last updated Jan 12th, 2011 - about 13 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 1346422607 NPPES
Colorado Other DD2107 RAILROAD MEDICARE
Colorado MEDICAID 04011250 RAILROAD MEDICARE

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