Hoosier Eye Doctor Inc

LBN: Hoosier Eye Doctor Inc
Hoosier Eye Doctor Inc is an health care organization with primary practice located at 1105 S College Mall Rd , Bloomington IN 47401-6177. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Hoosier Eye Doctor Inc can be contacted via phone (812) 333-2020, or through De Spirito, Joseph V via phone (812) 333-2020.

Contact Information

Primary practice address
1105 S College Mall Rd Bloomington IN 47401-6177
Fax: (812) 333-2020
Website:
Authorized official contact:
Name: De Spirito, Joseph V Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18003199A Indiana

Profile Details

NPI number 1326368861
LBN Legal business name Hoosier Eye Doctor Inc
DBA Doing business as
Authorized official De Spirito, Joseph V Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 7th, 2010
Last updated Jun 25th, 2010 - about 15 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 1326368861 NPPES
Indiana MEDICAID 200411980A

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