Horner Rausch Super Optical Of Cookeville

LBN: Lighthouse Optical Of Tennessee, Llc
Horner Rausch Super Optical Of Cookeville is an health care organization with primary practice located at 430 Neal St , Cookeville TN 38501-0916. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Lighthouse Optical Of Tennessee, Llc can be contacted via phone (931) 528-6411, or through Richardson, Stephen Morgan via phone (931) 528-6411.

Contact Information

Primary practice address
430 Neal St Cookeville TN 38501-0916
Fax: (931) 372-0380
Website:
Authorized official contact:
Name: Richardson, Stephen Morgan Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OD T-1155 Tennessee

Profile Details

NPI number 1609066703
LBN Legal business name Lighthouse Optical Of Tennessee, Llc
DBA Doing business as Horner Rausch Super Optical Of Cookeville
Authorized official Richardson, Stephen Morgan Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2007
Last updated Apr 5th, 2023 - 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 1609066703 NPPES
Tennessee Other 3087067 BLUE CROSS BLUE SHIELD TN
Tennessee Other 3945214 BLUE CROSS BLUE SHIELD TN
Tennessee MEDICAID 3596618 BLUE CROSS BLUE SHIELD TN

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