Hometown Eye Care, Inc

LBN: Hometown Eye Care, Inc
Hometown Eye Care, Inc is an health care organization with primary practice located at 621 Rose Dr , Big Lake MN 55309-4653. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Hometown Eye Care, Inc can be contacted via phone (763) 263-8444, or through Sealock, Jennie J via phone (763) 263-8444.

Contact Information

Primary practice address
621 Rose Dr Big Lake MN 55309-4653
Phone: (763) 263-8444
Fax: (763) 263-8583
Website:
Map and Directions
Authorized official contact:
Name: Sealock, Jennie J
Phone: (763) 263-8444

Health care specialties

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

Profile Details

NPI number 1841221785
LBN Legal business name Hometown Eye Care, Inc
DBA Doing business as
Authorized official Sealock, Jennie J
Entity Organization
Organization subpart 1 No
Enumeration date Jul 6th, 2006
Last updated Oct 13th, 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 1841221785 NPPES
Minnesota MEDICAID 812523600

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