Jcmod Llc

LBN: Jcmod Llc
Jcmod Llc is an health care organization with primary practice located at 400 Butler Cmns , Butler PA 16001-2496. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Jcmod Llc can be contacted via phone (724) 282-4054, or through Molnar, John via phone (724) 290-1197.

Contact Information

Primary practice address
400 Butler Cmns Butler PA 16001-2496
Phone: (724) 282-4054
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Molnar, John Doctor of Optometry (OD)
Phone: (724) 290-1197

Health care specialties

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

Profile Details

NPI number 1295206472
LBN Legal business name Jcmod Llc
DBA Doing business as
Authorized official Molnar, John Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 16th, 2018
Last updated Dec 16th, 2018 - about 7 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 1295206472 NPPES
Pennsylvania MEDICAID 01746380

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