H.M. Duperault Jr. O.D. P.A.

LBN: Herman M. Duperault, Jr., O.D., P.A.
H.M. Duperault Jr. O.D. P.A. is an health care organization with primary practice located at 447 Atlantic Blvd Suite 1, Atlantic Beach FL 32233-4004. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Herman M. Duperault, Jr., O.D., P.A. can be contacted via phone (904) 246-4372, or through Duperault, Herman M via phone (904) 246-0404.

Contact Information

Primary practice address
447 Atlantic Blvd Suite 1 Atlantic Beach FL 32233-4004
Phone: (904) 246-4372
Fax: (904) 246-6115
Website:
Map and Directions
Authorized official contact:
Name: Duperault, Herman M Doctor of Optometry (OD)
Phone: (904) 246-0404

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X OPC 672 Florida

Profile Details

NPI number 1710900824
LBN Legal business name Herman M. Duperault, Jr., O.D., P.A.
DBA Doing business as H.M. Duperault Jr. O.D. P.A.
Authorized official Duperault, Herman M Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2006
Last updated Jun 20th, 2008 - about 16 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 1710900824 NPPES
Florida MEDICAID 084332600

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