Eye-Mart Factory Outlet

LBN: Eye-Mart Factory Outlet
Eye-Mart Factory Outlet is an health care organization with primary practice located at 2139 N 12Th St Unit 5, Grand Junction CO 81501-2901. 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-Mart Factory Outlet can be contacted via phone (970) 241-2020, or through Wicks, Liz Anne via phone (970) 241-2884.

Contact Information

Primary practice address
2139 N 12Th St Unit 5 Grand Junction CO 81501-2901
Phone: (970) 241-2020
Fax: (970) 241-7735
Website:
Map and Directions
Authorized official contact:
Name: Wicks, Liz Anne
Phone: (970) 241-2884

Health care specialties

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

Profile Details

NPI number 1215112776
LBN Legal business name Eye-Mart Factory Outlet
DBA Doing business as
Authorized official Wicks, Liz Anne
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2008
Last updated Jan 3rd, 2008 - about 17 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 1215112776 NPPES
Colorado MEDICAID COTP125233A

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