Family Vision Clinic Pc

LBN: Family Vision Clinic Pc
Family Vision Clinic Pc is an health care organization with primary practice located at 202 N Main St , Culver IN 46511-1516. 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. Family Vision Clinic Pc can be contacted via phone (574) 842-3372, or through Couts, Mark Alan via phone (574) 842-3372.

Contact Information

Primary practice address
202 N Main St Culver IN 46511-1516
Phone: (574) 842-3372
Fax: (574) 842-3390
Website:
Map and Directions
Authorized official contact:
Name: Couts, Mark Alan Doctor of Optometry (OD)
Phone: (574) 842-3372

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 18002062 Indiana

Profile Details

NPI number 1083871297
LBN Legal business name Family Vision Clinic Pc
DBA Doing business as
Authorized official Couts, Mark Alan Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2008
Last updated Mar 25th, 2011 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1083871297 NPPES
Indiana MEDICAID 100279120A

Popular Providers