Graham'S Optique Boutique Inc

LBN: Graham'S Optique Boutique Inc
Graham'S Optique Boutique Inc is an health care organization with primary practice located at 20100 Outer Dr , Dearborn MI 48124-2647. The organization recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as the primary health care specialty. Graham'S Optique Boutique Inc can be contacted via phone (313) 562-0001, or through Derose, Joseph L via phone (313) 562-0001.

Contact Information

Primary practice address
20100 Outer Dr Dearborn MI 48124-2647
Phone: (313) 562-0001
Fax: (313) 562-4840
Website:
Map and Directions
Authorized official contact:
Name: Derose, Joseph L OPTICAN
Phone: (313) 562-0001

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X

Profile Details

NPI number 1821061714
LBN Legal business name Graham'S Optique Boutique Inc
DBA Doing business as
Authorized official Derose, Joseph L OPTICAN
Entity Organization
Organization subpart 1 No
Enumeration date Feb 10th, 2006
Last updated Oct 9th, 2014 - about 11 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 1821061714 NPPES
Michigan Other 54OH20415 BLUE CROSS BLUE SHIELD OF MICHIGAN

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