Enterprise Optometry Group

LBN: Enterprise Optometry Group
Enterprise Optometry Group is an health care organization with primary practice located at 3080 Victor Ave , Redding CA 96002-1449. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Enterprise Optometry Group can be contacted via phone (530) 222-3166, or through Callaway, Amanda via phone (530) 222-3166.

Contact Information

Primary practice address
3080 Victor Ave Redding CA 96002-1449
Phone: (530) 222-3166
Fax: (530) 222-6539
Website:
Map and Directions
Authorized official contact:
Name: Callaway, Amanda
Phone: (530) 222-3166

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 6443T California

Profile Details

NPI number 1811023724
LBN Legal business name Enterprise Optometry Group
DBA Doing business as
Authorized official Callaway, Amanda
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2007
Last updated Sep 17th, 2019 - about 5 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 1811023724 NPPES
California Other ZZZ71464Y BLUE SHIELD OF CALIFORNIA
California MEDICAID SD0064430 BLUE SHIELD OF CALIFORNIA

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