Express Lens Lab, Inc.

LBN: Express Lens Lab, Inc.
Express Lens Lab, Inc. is an health care organization with primary practice located at 17150 Newhope St Suite 305, Fountain Valley CA 92708-4250. 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. Express Lens Lab, Inc. can be contacted via phone (714) 545-1024, or through Goldstone, Brian Keith via phone (714) 545-1024.

Contact Information

Primary practice address
17150 Newhope St Suite 305 Fountain Valley CA 92708-4250
Phone: (714) 545-1024
Fax: (714) 556-2026
Website:
Map and Directions
Authorized official contact:
Name: Goldstone, Brian Keith
Phone: (714) 545-1024

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 19209 California

Profile Details

NPI number 1164588133
LBN Legal business name Express Lens Lab, Inc.
DBA Doing business as
Authorized official Goldstone, Brian Keith
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2006
Last updated Aug 22nd, 2020 - 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 1164588133 NPPES
Arizona MEDICAID 772534
Arizona MEDICAID 88272567

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