Ethelred Enterprises, Llc.

LBN: Ethelred Enterprises, Llc.
Ethelred Enterprises, Llc. is an health care organization with primary practice located at 614 N New Rd # 6035 , Waco TX 76710-6035. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Ethelred Enterprises, Llc. can be contacted via phone (254) 770-1338, or through Cobbs, Courtney Cheyne via phone (817) 408-7636.

Contact Information

Primary practice address
614 N New Rd # 6035 Waco TX 76710-6035
Phone: (254) 770-1338
Fax: (254) 770-1602
Website:
Map and Directions
Authorized official contact:
Name: Cobbs, Courtney Cheyne Doctor of Optometry (OD)
Phone: (817) 408-7636

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4923T Texas

Profile Details

NPI number 1154585180
LBN Legal business name Ethelred Enterprises, Llc.
DBA Doing business as
Authorized official Cobbs, Courtney Cheyne Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2008
Last updated Jun 24th, 2009 - about 16 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 1154585180 NPPES
Texas Other TX4923 EYE MED
Texas MEDICAID 181493101 EYE MED

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