Diamond Optical Care

LBN: Mac Optical
Diamond Optical Care is an health care organization with primary practice located at 1425 N Leroy St , Fenton MI 48430-2763. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Mac Optical can be contacted via phone (810) 629-2041, or through Hendricks, Denise Marie via phone (248) 887-4861.

Contact Information

Primary practice address
1425 N Leroy St Fenton MI 48430-2763
Phone: (810) 629-2041
Fax: (810) 629-9366
Website:
Map and Directions
Authorized official contact:
Name: Hendricks, Denise Marie
Phone: (248) 887-4861

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4901003723 Michigan

Profile Details

NPI number 1114114428
LBN Legal business name Mac Optical
DBA Doing business as Diamond Optical Care
Authorized official Hendricks, Denise Marie
Entity Organization
Organization subpart 1 No
Enumeration date Oct 1st, 2007
Last updated Mar 13th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114114428 NPPES
Michigan Other 0B51128 BLUE CROSS BLUE SHIELD
Michigan Other 900B51128 BLUE CROSS BLUE SHIELD
Michigan Other 0N11050 BLUE CROSS BLUE SHIELD
Michigan MEDICAID 3442884 BLUE CROSS BLUE SHIELD

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