Henderson Optical, Llc

LBN: Henderson Optical, Llc
Henderson Optical, Llc is an health care organization with primary practice located at 1201 Summit Ave , Fort Worth TX 76102-4413. The organization recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as the primary health care specialty. Henderson Optical, Llc can be contacted via phone (817) 336-3653, or through Bruhl, Dan via phone (817) 336-3653.

Contact Information

Primary practice address
1201 Summit Ave Fort Worth TX 76102-4413
Phone: (817) 336-3653
Fax: (817) 332-4233
Website:
Map and Directions
Authorized official contact:
Name: Bruhl, Dan Doctor of Medicine (MD)
Phone: (817) 336-3653

Health care specialties

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

Profile Details

NPI number 1083791354
LBN Legal business name Henderson Optical, Llc
DBA Doing business as
Authorized official Bruhl, Dan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated Mar 4th, 2020 - about 4 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 1083791354 NPPES
Texas MEDICAID 019770901

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