Longmeadow Eyecare Incorporated
LBN: Longmeadow Eyecare Incorporated
Longmeadow Eyecare Incorporated is an health care organization with primary practice located at 1545 Potomac Ave , Hagerstown MD 21742-2930. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Suppliers / Eyewear Supplier (Equipment, not the service) is the primary health care specialty.
Longmeadow Eyecare Incorporated can be contacted via phone (301) 797-3030, or through Huntzberry, David W via phone (301) 797-3030.
Contact Information
Primary practice address
1545 Potomac Ave
Hagerstown MD 21742-2930
Phone: (301) 797-3030
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X |
Profile Details
| NPI number | 1417944299 |
|---|---|
| LBN Legal business name | Longmeadow Eyecare Incorporated |
| DBA Doing business as | |
| Authorized official | Huntzberry, David W |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 5th, 2005 |
| Last updated | Jul 26th, 2012 - about 12 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 | 1417944299 | NPPES |
| Other | 0736980001 | MEDICARE DMERC | |
| Other | 53066701 X754LO | MEDICARE DMERC | |
| MEDICAID | 111658400 | MEDICARE DMERC |
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