Rock Judisch Vision Clinic Pc

LBN: Judisch Vision Pc
Rock Judisch Vision Clinic Pc is an health care organization with primary practice located at 1341 W Main St , Lake City IA 51449-0124. 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) 464-3136, or through Judisch, Jonathan Paul via phone (712) 464-3136.

Contact Information

Primary practice address
1341 W Main St Lake City IA 51449-0124
Fax: (712) 464-7683
Website:
Authorized official contact:
Name: Judisch, Jonathan Paul Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 02262 Iowa
Eye and Vision Services Providers / Optometrist 152W00000X 1862 Iowa

Profile Details

NPI number 1669521027
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 8th, 2007
Last updated Jan 10th, 2024 - about last year

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 1669521027 NPPES
Iowa MEDICAID 0258194
Iowa Other DA3268
Iowa Other 25819

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