Independent Optical, Inc

LBN: Independent Optical, Inc
Independent Optical, Inc is an health care organization with primary practice located at 810 Mount Rushmore Rd , Rapid City SD 57701-3603. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Independent Optical, Inc can be contacted via phone (605) 343-6617, or through Mordhorst, Charles A via phone (605) 343-6617.

Contact Information

Primary practice address
810 Mount Rushmore Rd Rapid City SD 57701-3603
Phone: (605) 343-6617
Fax: (605) 343-6621
Website:
Map and Directions
Authorized official contact:
Name: Mordhorst, Charles A
Phone: (605) 343-6617

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X

Profile Details

NPI number 1043259930
LBN Legal business name Independent Optical, Inc
DBA Doing business as
Authorized official Mordhorst, Charles A
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2006
Last updated May 7th, 2015 - about 9 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 1043259930 NPPES
South Dakota MEDICAID 9280150

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