Eyeglass Shopp Llc

LBN: Eyeglass Shopp Llc
Eyeglass Shopp Llc is an health care organization with primary practice located at 200 Main St W , Ashland WI 54806-1606. 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. Eyeglass Shopp Llc can be contacted via phone (715) 682-8181, or through Bailen, Robert Joseph via phone (715) 682-8181.

Contact Information

Primary practice address
200 Main St W Ashland WI 54806-1606
Phone: (715) 682-8181
Fax: (715) 682-8181
Website:
Map and Directions
Authorized official contact:
Name: Bailen, Robert Joseph ABOC
Phone: (715) 682-8181

Health care specialties

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

Profile Details

NPI number 1750945028
LBN Legal business name Eyeglass Shopp Llc
DBA Doing business as
Authorized official Bailen, Robert Joseph ABOC
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2019
Last updated Apr 23rd, 2019 - about 6 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 1750945028 NPPES
Wisconsin MEDICAID 100085010

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