Eli Dragisich Od Inc

LBN: Eli Dragisich Od Inc
Eli Dragisich Od Inc is an health care organization with primary practice located at 705 Colliers Way , Weirton WV 26062-5016. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Eli Dragisich Od Inc can be contacted via phone (304) 723-1280, or through Dragisich, Eli via phone (304) 723-1280.

Contact Information

Primary practice address
705 Colliers Way Weirton WV 26062-5016
Phone: (304) 723-1280
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dragisich, Eli Doctor of Optometry (OD)
Phone: (304) 723-1280

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 599OD West Virginia

Profile Details

NPI number 1407936925
LBN Legal business name Eli Dragisich Od Inc
DBA Doing business as
Authorized official Dragisich, Eli Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2006
Last updated Dec 13th, 2007 - about 18 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 1407936925 NPPES
West Virginia MEDICAID 0150189000

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