Creekside Optical

LBN: Eye & Ent Specialists
Creekside Optical is an health care organization with primary practice located at 1761 W M 43 Hwy , Hastings MI 49058-8378. 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. Eye & Ent Specialists can be contacted via phone (269) 945-3888, or through Norris, Kimberly J via phone (269) 945-3888.

Contact Information

Primary practice address
1761 W M 43 Hwy Hastings MI 49058-8378
Phone: (269) 945-3888
Fax: (269) 945-2112
Website:
Map and Directions
Authorized official contact:
Name: Norris, Kimberly J Doctor of Medicine (MD)
Phone: (269) 945-3888

Health care specialties

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

Profile Details

NPI number 1194936740
LBN Legal business name Eye & Ent Specialists
DBA Doing business as Creekside Optical
Authorized official Norris, Kimberly J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2007
Last updated Mar 17th, 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 1194936740 NPPES
Michigan MEDICAID 864135064

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