Niagara Eye Associates

LBN: Gary T Brotherson Md Inc
Niagara Eye Associates is an health care organization with primary practice located at 1801 W 8Th St , Erie PA 16505-4938. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Gary T Brotherson Md Inc can be contacted via phone (814) 455-8004, or through Brotherson, Gary via phone (814) 455-8004.

Contact Information

Primary practice address
1801 W 8Th St Erie PA 16505-4938
Fax: (814) 456-6054
Website:
Authorized official contact:
Name: Brotherson, Gary Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG001090 Pennsylvania

Profile Details

NPI number 1801818810
LBN Legal business name Gary T Brotherson Md Inc
DBA Doing business as Niagara Eye Associates
Authorized official Brotherson, Gary Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2006
Last updated Aug 31st, 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 1801818810 NPPES
Pennsylvania MEDICAID 0070886470002
Pennsylvania Other 410040784
Pennsylvania Other OEG001090
Pennsylvania Other 1942274691
Pennsylvania Other 060638
Pennsylvania Other 1466887
Pennsylvania Other 436660

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