Dr. William F. Brigham, Optometrist Inc
LBN: Dr. William F. Brigham, Optometrist Inc
Dr. William F. Brigham, Optometrist Inc is an health care organization with primary practice located at 902 W Wayne St , Fort Wayne IN 46802-3976. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Dr. William F. Brigham, Optometrist Inc can be contacted via phone (260) 422-9421, or through Brigham, William F. via phone (260) 422-9421.
Contact Information
Primary practice address
902 W Wayne St
Fort Wayne IN 46802-3976
Phone: (260) 422-9421
Fax: (260) 422-9422
Website:
Authorized official contact:
Name: Brigham, William F. Doctor of Optometry (OD)
Phone: (260) 422-9421
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 18001470 | Indiana |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 18001470 | Indiana |
Profile Details
| NPI number | 1508033622 |
|---|---|
| LBN Legal business name | Dr. William F. Brigham, Optometrist Inc |
| DBA Doing business as | |
| Authorized official | Brigham, William F. Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 8th, 2008 |
| Last updated | May 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508033622 | NPPES |
| Indiana | MEDICAID | 100280170A | |
| Indiana | Other | 13275 | |
| Indiana | Other | IN1470 | |
| Indiana | MEDICAID | 200941810A |
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