Jacksonville Optical Co. Inc.

LBN: Jacksonville Optical Co. Inc.
Jacksonville Optical Co. Inc. is an health care organization with primary practice located at 353 Western Blvd , Jacksonville NC 28546-6347. 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. Jacksonville Optical Co. Inc. can be contacted via phone (910) 353-3827, or through Butler, Gary Franklin via phone (910) 353-3827.

Contact Information

Primary practice address
353 Western Blvd Jacksonville NC 28546-6347
Fax: (919) 353-0431
Website:
Authorized official contact:
Name: Butler, Gary Franklin LICENSED OPTICIAN

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X #346 North Carolina

Profile Details

NPI number 1669538534
LBN Legal business name Jacksonville Optical Co. Inc.
DBA Doing business as
Authorized official Butler, Gary Franklin LICENSED OPTICIAN
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2006
Last updated Jan 14th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669538534 NPPES
North Carolina MEDICAID 8801908

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