Lighthouse Vision Care, P.C.
LBN: Lighthouse Vision Care, P.C.
Lighthouse Vision Care, P.C. is an health care organization with primary practice located at 310 Stillwell Ave , Tillamook OR 97141-2119. The organization recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics. Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Lighthouse Vision Care, P.C. can be contacted via phone (503) 842-6363, or through Dehaan, Raymond K via phone (503) 842-6363.
Contact Information
Primary practice address
310 Stillwell Ave
Tillamook OR 97141-2119
Phone: (503) 842-6363
Fax: (503) 842-6204
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2858T | Oregon |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 2858T | Oregon |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 2858T | Oregon |
Profile Details
| NPI number | 1235325176 |
|---|---|
| LBN Legal business name | Lighthouse Vision Care, P.C. |
| DBA Doing business as | |
| Authorized official | Dehaan, Raymond K Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 24th, 2007 |
| Last updated | Sep 24th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235325176 | NPPES |
| Oregon | MEDICAID | 182762 |
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