Kennedy Optical Center

LBN: Koc Inc
Kennedy Optical Center is an health care organization with primary practice located at 5660 Dixie Hwy , Waterford MI 48329-1695. The organization recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as the primary health care specialty. Koc Inc can be contacted via phone (248) 623-1876, or through Behen, Janis via phone (248) 623-1876.

Contact Information

Primary practice address
5660 Dixie Hwy Waterford MI 48329-1695
Phone: (248) 623-1876
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Behen, Janis
Phone: (248) 623-1876

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X

Profile Details

NPI number 1609048172
LBN Legal business name Koc Inc
DBA Doing business as Kennedy Optical Center
Authorized official Behen, Janis
Entity Organization
Organization subpart 1 No
Enumeration date Mar 25th, 2008
Last updated Mar 25th, 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 1609048172 NPPES
Michigan MEDICAID 942614151
Michigan MEDICAID 861702090

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