Keith Walker Opticians

LBN: Keith Walker Opticians
Keith Walker Opticians is an health care organization with primary practice located at 2632 Cunningham Ave , Joplin MO 64804-1542. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Keith Walker Opticians can be contacted via phone (417) 623-3448, or through Lais, Rebecca J via phone (417) 623-3448.

Contact Information

Primary practice address
2632 Cunningham Ave Joplin MO 64804-1542
Phone: (417) 623-3448
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lais, Rebecca J
Phone: (417) 623-3448

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X

Profile Details

NPI number 1164690681
LBN Legal business name Keith Walker Opticians
DBA Doing business as
Authorized official Lais, Rebecca J
Entity Organization
Organization subpart 1 No
Enumeration date Feb 19th, 2008
Last updated Feb 21st, 2008 - about 16 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 1164690681 NPPES
Missouri MEDICAID 320412703

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