Fraser Optical Clinic, Inc.
LBN: Fraser Optical Clinic, Inc.
Fraser Optical Clinic, Inc. is an health care organization with primary practice located at 32925 Groesbeck Highway , Fraser MI 48026. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Fraser Optical Clinic, Inc. can be contacted via phone (586) 293-8888, or through Stefani, Mark Andrew via phone (586) 293-8888.
Contact Information
Primary practice address
32925 Groesbeck Highway
Fraser MI 48026
Phone: (586) 293-8888
Fax: (586) 296-0726
Website:
Authorized official contact:
Name: Stefani, Mark Andrew Doctor of Osteopathy (DO)
Phone: (586) 293-8888
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X |
Profile Details
| NPI number | 1447326244 |
|---|---|
| LBN Legal business name | Fraser Optical Clinic, Inc. |
| DBA Doing business as | |
| Authorized official | Stefani, Mark Andrew Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 27th, 2006 |
| Last updated | Feb 5th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447326244 | NPPES |
| Other | 900E06513 | BCBS | |
| Other | 110955 | BCBS | |
| MEDICAID | 3404800 | BCBS |
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