Heritage Valley Eye Care Optometric Center

LBN: Heritage Valley Eye Care Optometric Center
Heritage Valley Eye Care Optometric Center is an health care organization with primary practice located at 400 E Santa Barbara St Ste C, Santa Paula CA 93060-2675. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Heritage Valley Eye Care Optometric Center can be contacted via phone (805) 525-6603, or through Luekenga, Aaron M via phone (805) 525-6603.

Contact Information

Primary practice address
400 E Santa Barbara St Ste C Santa Paula CA 93060-2675
Fax: (805) 525-6115
Website:
Authorized official contact:
Name: Luekenga, Aaron M Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X COR618 California

Profile Details

NPI number 1164497905
LBN Legal business name Heritage Valley Eye Care Optometric Center
DBA Doing business as
Authorized official Luekenga, Aaron M Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2006
Last updated Jul 7th, 2015 - about 10 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 1164497905 NPPES
California MEDICAID GSD000080

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