Generations Family Eyecare, Pc
LBN: Generations Family Eyecare, Pc
Generations Family Eyecare, Pc is an health care organization with primary practice located at 4201 Lahmeyer Rd , Fort Wayne IN 46815-5676. The organization recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation. Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Generations Family Eyecare, Pc can be contacted via phone (260) 486-6106, or through Whiteleather, Kevin A. via phone (260) 486-6106.
Contact Information
Primary practice address
4201 Lahmeyer Rd
Fort Wayne IN 46815-5676
Phone: (260) 486-6106
Fax:
Website:
Authorized official contact:
Name: Whiteleather, Kevin A. Doctor of Optometry (OD)
Phone: (260) 486-6106
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 18003140A | Indiana |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 18003140A | Indiana |
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 18003140A | Indiana |
Profile Details
| NPI number | 1821081621 |
|---|---|
| LBN Legal business name | Generations Family Eyecare, Pc |
| DBA Doing business as | |
| Authorized official | Whiteleather, Kevin A. Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 26th, 2005 |
| Last updated | Aug 13th, 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 | 1821081621 | NPPES |
| Indiana | MEDICAID | 200357500A | |
| Indiana | Other | CJ3814 |
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