Fairbanks Ocular Prosthetics, Inc.

LBN: Fairbanks Ocular Prosthetics, Inc.
Fairbanks Ocular Prosthetics, Inc. is an health care organization with primary practice located at 1720 West End Ave Suite 402, Nashville TN 37203. The organization recently has only one registered license in Eye and Vision Services Providers / Ocularist, which is considered as the primary health care specialty. Fairbanks Ocular Prosthetics, Inc. can be contacted via phone (615) 322-9940, or through Sanders, Stephen E via phone (615) 322-9940.

Contact Information

Primary practice address
1720 West End Ave Suite 402 Nashville TN 37203
Phone: (615) 322-9940
Fax: (615) 320-0970
Website:
Map and Directions
Authorized official contact:
Name: Sanders, Stephen E B.C.O., BADO
Phone: (615) 322-9940

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Ocularist 156FX1700X 05-311-11 Tennessee

Profile Details

NPI number 1700816949
LBN Legal business name Fairbanks Ocular Prosthetics, Inc.
DBA Doing business as
Authorized official Sanders, Stephen E B.C.O., BADO
Entity Organization
Organization subpart 1 No
Enumeration date Jul 4th, 2006
Last updated Aug 22nd, 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 1700816949 NPPES
Tennessee MEDICAID 1452191
Tennessee MEDICAID 90262916

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