The Optical Shop

LBN: Eye Lab Vision Center, Inc.
The Optical Shop is an health care organization with primary practice located at 2011 Highway 280 Bypass , Phenix City AL 36867. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Eye Lab Vision Center, Inc. can be contacted via phone (334) 480-4015, or through Stone, Grady via phone (334) 480-4015.

Contact Information

Primary practice address
2011 Highway 280 Bypass Phenix City AL 36867
Phone: (334) 480-4015
Fax: (334) 448-9918
Website:
Map and Directions
Authorized official contact:
Name: Stone, Grady L.D.O
Phone: (334) 480-4015

Health care specialties

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

Profile Details

NPI number 1578590733
LBN Legal business name Eye Lab Vision Center, Inc.
DBA Doing business as The Optical Shop
Authorized official Stone, Grady L.D.O
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2006
Last updated Apr 15th, 2020 - about 4 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 1578590733 NPPES
Alabama MEDICAID 529907970

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