Larry L. Minix Dba The Optical Shoppe

LBN: Larry L. Minix Dba The Optical Shoppe
Larry L. Minix Dba The Optical Shoppe is an health care organization with primary practice located at 1115 Tamarack Rd Suite 100, Owensboro KY 42301-6984. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optician, Speech, Language and Hearing Service Providers / Hearing Instrument Specialist. Eye and Vision Services Providers / Optician is the primary health care specialty. Larry L. Minix Dba The Optical Shoppe can be contacted via phone (270) 926-4933, or through Minix, Larry L. via phone (270) 926-4933.

Contact Information

Primary practice address
1115 Tamarack Rd Suite 100 Owensboro KY 42301-6984
Phone: (270) 926-4933
Fax: (270) 688-0627
Website:
Map and Directions
Authorized official contact:
Name: Minix, Larry L. OPTICIAN HIS
Phone: (270) 926-4933

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X

Profile Details

NPI number 1598858300
LBN Legal business name Larry L. Minix Dba The Optical Shoppe
DBA Doing business as
Authorized official Minix, Larry L. OPTICIAN HIS
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2006
Last updated Sep 16th, 2009 - 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 1598858300 NPPES
Kentucky MEDICAID 52800315
Kentucky MEDICAID 52903945

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