Indiana Vision Development Center Pc
LBN: Indiana Vision Development Center Pc
Indiana Vision Development Center Pc is an health care organization with primary practice located at 10343 Dawsons Creek Blvd Ste B Bldg 6, Fort Wayne IN 46825-1906. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
Indiana Vision Development Center Pc can be contacted via phone (260) 497-7973, or through Myers, Carl O via phone (260) 497-7973.
Contact Information
Primary practice address
10343 Dawsons Creek Blvd Ste B Bldg 6
Fort Wayne IN 46825-1906
Phone: (260) 497-7973
Fax: (260) 497-7986
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 18002177A | Indiana |
Profile Details
| NPI number | 1821059320 |
|---|---|
| LBN Legal business name | Indiana Vision Development Center Pc |
| DBA Doing business as | |
| Authorized official | Myers, Carl O Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 1st, 2006 |
| Last updated | Oct 17th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821059320 | NPPES |
| Indiana | MEDICAID | 200427750A | |
| Indiana | Other | 5544260001 |
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