Fountain City Eyecare Llc

LBN: Fountain City Eyecare Llc
Fountain City Eyecare Llc is an health care organization with primary practice located at 1807 Station Dr Suite A, Prattville AL 36066-5664. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is the primary health care specialty. Fountain City Eyecare Llc can be contacted via phone (334) 358-2440, or through Eischens, George Nicholas via phone (334) 358-2440.

Contact Information

Primary practice address
1807 Station Dr Suite A Prattville AL 36066-5664
Phone: (334) 358-2440
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Eischens, George Nicholas Doctor of Optometry (OD)
Phone: (334) 358-2440

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X S983TA555 Alabama
Eye and Vision Services Providers / Vision Therapy 152WV0400X S983TA555 Alabama

Profile Details

NPI number 1245390459
LBN Legal business name Fountain City Eyecare Llc
DBA Doing business as
Authorized official Eischens, George Nicholas Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2006
Last updated May 25th, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245390459 NPPES
Alabama Other 051509621 BCBS
Alabama Other 22-00012 BCBS
Alabama MEDICAID 529911890 BCBS
Alabama Other P00201800 BCBS
Alabama MEDICAID 051509621 BCBS

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