Wetumpka Optical

LBN: East Montgomery Optical Shoppe
Wetumpka Optical is an health care organization with primary practice located at 262 Mitylene Park Dr , Montgomery AL 36117-3548. 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. East Montgomery Optical Shoppe can be contacted via phone (334) 260-8511, or through Paulk, Wilson Guinn via phone (334) 260-8511.

Contact Information

Primary practice address
262 Mitylene Park Dr Montgomery AL 36117-3548
Phone: (334) 260-8511
Fax: (334) 260-8755
Website:
Map and Directions
Authorized official contact:
Name: Paulk, Wilson Guinn Doctor of Medicine (MD)
Phone: (334) 260-8511

Health care specialties

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

Profile Details

NPI number 1619155736
LBN Legal business name East Montgomery Optical Shoppe
DBA Doing business as Wetumpka Optical
Authorized official Paulk, Wilson Guinn Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2008
Last updated May 11th, 2011 - about 15 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 1619155736 NPPES
Alabama Other 51515037 BCBS

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