Eyecare Boutique

LBN: E Wingo & P Colchiski Ptr
Eyecare Boutique is an health care organization with primary practice located at 2437 E Fort King St , Ocala FL 34471-2558. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. E Wingo & P Colchiski Ptr can be contacted via phone (352) 629-2422, or through Wingo, Penelope Colchiski via phone (352) 629-2422.

Contact Information

Primary practice address
2437 E Fort King St Ocala FL 34471-2558
Phone: (352) 629-2422
Fax: (352) 732-0177
Website:
Map and Directions
Authorized official contact:
Name: Wingo, Penelope Colchiski
Phone: (352) 629-2422

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X ME0028326 Florida

Profile Details

NPI number 1629128475
LBN Legal business name E Wingo & P Colchiski Ptr
DBA Doing business as Eyecare Boutique
Authorized official Wingo, Penelope Colchiski
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2007
Last updated Jun 18th, 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 1629128475 NPPES
Florida MEDICAID 057222500

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