Fatula Family Eye Care Pllc

LBN: Fatula Family Eye Care Pllc
Fatula Family Eye Care Pllc is an health care organization with primary practice located at 20 Industrial Dr , Du Bois PA 15801-3842. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Fatula Family Eye Care Pllc can be contacted via phone (814) 913-3006, or through Fatula, Daniel R via phone (814) 913-3006.

Contact Information

Primary practice address
20 Industrial Dr Du Bois PA 15801-3842
Phone: (814) 913-3006
Fax: (814) 371-2713
Website:
Map and Directions
Authorized official contact:
Name: Fatula, Daniel R Doctor of Optometry (OD)
Phone: (814) 913-3006

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG001789 Pennsylvania

Profile Details

NPI number 1700297058
LBN Legal business name Fatula Family Eye Care Pllc
DBA Doing business as
Authorized official Fatula, Daniel R Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2014
Last updated May 8th, 2014 - about 11 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 1700297058 NPPES
Pennsylvania MEDICAID 1024126310002

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