Jacksonville Vision Center, O.D.,Pllc

LBN: Jacksonville Vision Center, O.D.,Pllc
Jacksonville Vision Center, O.D.,Pllc is an health care organization with primary practice located at 409 Western Blvd Suite 700, Jacksonville NC 28546-6528. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Jacksonville Vision Center, O.D.,Pllc can be contacted via phone (910) 219-3937, or through Taylor, Tracy A via phone (910) 326-0113.

Contact Information

Primary practice address
409 Western Blvd Suite 700 Jacksonville NC 28546-6528
Phone: (910) 219-3937
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Tracy A
Phone: (910) 326-0113

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1970 North Carolina

Profile Details

NPI number 1578867057
LBN Legal business name Jacksonville Vision Center, O.D.,Pllc
DBA Doing business as
Authorized official Taylor, Tracy A
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2010
Last updated Feb 2nd, 2011 - about 14 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 1578867057 NPPES
North Carolina MEDICAID 89093R2

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