Foster Primary Eye Care Ltd

LBN: Foster Primary Eye Care Ltd
Foster Primary Eye Care Ltd is an health care organization with primary practice located at 2 E Main St , Black River Falls WI 54615-1409. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Foster Primary Eye Care Ltd can be contacted via phone (715) 284-4876, or through Foster, Gregory Alan via phone (715) 284-4876.

Contact Information

Primary practice address
2 E Main St Black River Falls WI 54615-1409
Phone: (715) 284-4876
Fax: (715) 284-4051
Website:
Map and Directions
Authorized official contact:
Name: Foster, Gregory Alan Doctor of Optometry (OD)
Phone: (715) 284-4876

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1728-035 Wisconsin

Profile Details

NPI number 1972741353
LBN Legal business name Foster Primary Eye Care Ltd
DBA Doing business as
Authorized official Foster, Gregory Alan Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2009
Last updated Nov 18th, 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 1972741353 NPPES
Wisconsin MEDICAID 38721100

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