Durham Optical, Inc

LBN: Durham Optical, Inc
Durham Optical, Inc is an health care organization with primary practice located at 940 N Main St , Bushnell FL 33513-5008. The organization recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as the primary health care specialty. Durham Optical, Inc can be contacted via phone (352) 568-0442, or through Durham, Wade Thomas via phone (352) 568-0442.

Contact Information

Primary practice address
940 N Main St Bushnell FL 33513-5008
Phone: (352) 568-0442
Fax: (352) 568-2902
Website:
Map and Directions
Authorized official contact:
Name: Durham, Wade Thomas OPTICIAN
Phone: (352) 568-0442

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X DO1085 Florida

Profile Details

NPI number 1770742777
LBN Legal business name Durham Optical, Inc
DBA Doing business as
Authorized official Durham, Wade Thomas OPTICIAN
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2008
Last updated Jun 4th, 2008 - about 17 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 1770742777 NPPES
Florida MEDICAID 086841800

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