Latham Optical

LBN: F & G Optical Inc
Latham Optical is an health care organization with primary practice located at 852 Lake St E Unit A, Wayzata MN 55391-4523. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Durable Medical Equipment & Medical Supplies. Eye and Vision Services Providers / Optometrist is the primary health care specialty. F & G Optical Inc can be contacted via phone (952) 476-4185, or through Domain, Virginia via phone (952) 476-4185.

Contact Information

Primary practice address
852 Lake St E Unit A Wayzata MN 55391-4523
Phone: (952) 476-4185
Fax: (952) 476-8812
Website:
Map and Directions
Authorized official contact:
Name: Domain, Virginia
Phone: (952) 476-4185

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2439 Minnesota
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1679643100
LBN Legal business name F & G Optical Inc
DBA Doing business as Latham Optical
Authorized official Domain, Virginia
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2006
Last updated Apr 8th, 2013 - about 12 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 1679643100 NPPES
Minnesota MEDICAID 808862400

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