Gary W Lasken Od Llc

LBN: Gary W Lasken Od Llc
Gary W Lasken Od Llc is an health care organization with primary practice located at 7815 N Knoxville Ave , Peoria IL 61614-2078. 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 W Lasken Od Llc can be contacted via phone (309) 692-5500, or through Lasken, Gary W via phone (309) 692-5500.

Contact Information

Primary practice address
7815 N Knoxville Ave Peoria IL 61614-2078
Phone: (309) 692-5500
Fax: (309) 692-5508
Website:
Map and Directions
Authorized official contact:
Name: Lasken, Gary W Doctor of Optometry (OD)
Phone: (309) 692-5500

Health care specialties

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

Profile Details

NPI number 1659391175
LBN Legal business name Gary W Lasken Od Llc
DBA Doing business as
Authorized official Lasken, Gary W Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2006
Last updated May 17th, 2011 - about 13 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 1659391175 NPPES
Illinois Other IL4516 ORGANIZATION PTAN

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