Jeffrey S Porter Od Pc

LBN: Jeffrey S Porter Od Pc
Jeffrey S Porter Od Pc is an health care organization with primary practice located at 1205 S Il Route 31 , Crystal Lake IL 60014-8213. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Jeffrey S Porter Od Pc can be contacted via phone (915) 477-4053, or through Porter, Jeffrey Scott via phone (847) 323-8501.

Contact Information

Primary practice address
1205 S Il Route 31 Crystal Lake IL 60014-8213
Fax: (815) 477-4302
Website:
Authorized official contact:
Name: Porter, Jeffrey Scott Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 04608991 Illinois

Profile Details

NPI number 1356525489
LBN Legal business name Jeffrey S Porter Od Pc
DBA Doing business as
Authorized official Porter, Jeffrey Scott Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2007
Last updated Aug 20th, 2020 - about 4 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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