Lafayette Vision Care

LBN: Duane A Gillam
Lafayette Vision Care is an health care organization with primary practice located at 638 S Earl Ave , Lafayette IN 47904-3264. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Duane A Gillam can be contacted via phone (765) 448-2711, or through Gillam, Duane A via phone (765) 448-2711.

Contact Information

Primary practice address
638 S Earl Ave Lafayette IN 47904-3264
Phone: (765) 448-2711
Fax: (765) 448-2995
Website:
Map and Directions
Authorized official contact:
Name: Gillam, Duane A Doctor of Optometry (OD)
Phone: (765) 448-2711

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18001683B Indiana

Profile Details

NPI number 1902045446
LBN Legal business name Duane A Gillam
DBA Doing business as Lafayette Vision Care
Authorized official Gillam, Duane A Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2009
Last updated May 24th, 2016 - about 8 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 1902045446 NPPES
Indiana MEDICAID 100230920

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