Formica Optical

LBN: Formica Optical
Formica Optical is an health care organization with primary practice located at 110 Revco Rd , Somerset PA 15501-7726. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Formica Optical can be contacted via phone (814) 443-6508, or through Formica, Charles A via phone (814) 443-6508.

Contact Information

Primary practice address
110 Revco Rd Somerset PA 15501-7726
Phone: (814) 443-6508
Fax: (814) 443-0590
Website:
Map and Directions
Authorized official contact:
Name: Formica, Charles A
Phone: (814) 443-6508

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1083603385
LBN Legal business name Formica Optical
DBA Doing business as
Authorized official Formica, Charles A
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2005
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 1083603385 NPPES
Pennsylvania MEDICAID 0012176490001

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