Dba Longe Optical

LBN: Ferris Optical Corp
Dba Longe Optical is an health care organization with primary practice located at 900 E Ganson St , Jackson MI 49201-1700. 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. Ferris Optical Corp can be contacted via phone (517) 789-6171, or through Ferris, Jan Richard via phone (517) 789-6171.

Contact Information

Primary practice address
900 E Ganson St Jackson MI 49201-1700
Phone: (517) 789-6171
Fax: (517) 789-6200
Website:
Map and Directions
Authorized official contact:
Name: Ferris, Jan Richard Doctor of Optometry (OD)
Phone: (517) 789-6171

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 152W00000X Michigan

Profile Details

NPI number 1619271996
LBN Legal business name Ferris Optical Corp
DBA Doing business as Dba Longe Optical
Authorized official Ferris, Jan Richard Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 31st, 2010
Last updated Dec 31st, 2010 - about 15 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 1619271996 NPPES
Michigan MEDICAID 945036409

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