South Holland Optometric Associates
LBN: Jasper Gulotta
South Holland Optometric Associates is an health care organization with primary practice located at 835 E 162Nd St , South Holland IL 60473-2465. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Jasper Gulotta can be contacted via phone (708) 333-4444, or through Gulotta, Jasper Jay via phone (708) 333-4444.
Contact Information
Primary practice address
835 E 162Nd St
South Holland IL 60473-2465
Phone: (708) 333-4444
Fax: (708) 333-4454
Website:
Authorized official contact:
Name: Gulotta, Jasper Jay Doctor of Optometry (OD)
Phone: (708) 333-4444
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X |
Profile Details
| NPI number | 1497937403 |
|---|---|
| LBN Legal business name | Jasper Gulotta |
| DBA Doing business as | South Holland Optometric Associates |
| Authorized official | Gulotta, Jasper Jay Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 30th, 2007 |
| Last updated | Aug 28th, 2009 - about 15 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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