Rock Judisch Vision Clinic Pc

LBN: Judisch Vision Pc
Rock Judisch Vision Clinic Pc is an health care organization with primary practice located at 1160 3Rd St , Lake View IA 51450-0080. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Judisch Vision Pc can be contacted via phone (712) 657-3304, or through Judisch, Jonathan Paul via phone (712) 657-3304.

Contact Information

Primary practice address
1160 3Rd St Lake View IA 51450-0080
Phone: (712) 657-3304
Fax: (712) 657-3303
Website:
Map and Directions
Authorized official contact:
Name: Judisch, Jonathan Paul Doctor of Optometry (OD)
Phone: (712) 657-3304

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 02262 Iowa

Profile Details

NPI number 1427103902
LBN Legal business name Judisch Vision Pc
DBA Doing business as Rock Judisch Vision Clinic Pc
Authorized official Judisch, Jonathan Paul Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2007
Last updated May 7th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427103902 NPPES
Other 25818 BCBS
MEDICAID 0258194 BCBS
Other DA3270 BCBS

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