J. Michael Vidal, Od Inc

LBN: J. Michael Vidal, Od Inc
J. Michael Vidal, Od Inc is an health care organization with primary practice located at 7090 Parkway Dr , La Mesa CA 91942-1596. 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. J. Michael Vidal, Od Inc can be contacted via phone (619) 460-2020, or through Vidal, J. Michael via phone (619) 460-2020.

Contact Information

Primary practice address
7090 Parkway Dr La Mesa CA 91942-1596
Phone: (619) 460-2020
Fax: (619) 462-2020
Website:
Map and Directions
Authorized official contact:
Name: Vidal, J. Michael Doctor of Optometry (OD)
Phone: (619) 460-2020

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X CA61320 California

Profile Details

NPI number 1396071296
LBN Legal business name J. Michael Vidal, Od Inc
DBA Doing business as
Authorized official Vidal, J. Michael Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2009
Last updated Mar 8th, 2011 - about 13 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 1396071296 NPPES
California MEDICAID SD0061320

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