Optical World

LBN: Jartll Corp
Optical World is an health care organization with primary practice located at 15336 Grand River Ave , Detroit MI 48227-2215. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Jartll Corp can be contacted via phone (313) 836-1666, or through Kingery, Heather M via phone (238) 871-1234.

Contact Information

Primary practice address
15336 Grand River Ave Detroit MI 48227-2215
Phone: (313) 836-1666
Fax: (313) 836-1066
Website:
Map and Directions
Authorized official contact:
Name: Kingery, Heather M
Phone: (238) 871-1234

Health care specialties

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

Profile Details

NPI number 1124179346
LBN Legal business name Jartll Corp
DBA Doing business as Optical World
Authorized official Kingery, Heather M
Entity Organization
Organization subpart 1 No
Enumeration date Jan 15th, 2007
Last updated Feb 7th, 2012 - 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 1124179346 NPPES
Michigan MEDICAID 1124179346

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