Thorstenson Eye Clinic, Optical, Asc

LBN: Lyle Thorstenson, Md
Thorstenson Eye Clinic, Optical, Asc is an health care organization with primary practice located at 3302 Ne Stallings Dr , Nacogdoches TX 75965-8727. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ophthalmologic Surgery, which is considered as the primary health care specialty. Lyle Thorstenson, Md can be contacted via phone (936) 564-2411, or through Thorstenson, Lyle S via phone (936) 564-2411.

Contact Information

Primary practice address
3302 Ne Stallings Dr Nacogdoches TX 75965-8727
Fax: (936) 564-1280
Website:
Authorized official contact:
Name: Thorstenson, Lyle S Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ophthalmologic Surgery 261QS0132X F2064 Texas

Profile Details

NPI number 1396798955
LBN Legal business name Lyle Thorstenson, Md
DBA Doing business as Thorstenson Eye Clinic, Optical, Asc
Authorized official Thorstenson, Lyle S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2006
Last updated Oct 4th, 2007 - about 18 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 1396798955 NPPES
Texas MEDICAID P000HH693
Texas Other 451159
Texas Other 451159

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