Mallard Eyecare, Inc

LBN: Mallard Eyecare, Inc
Mallard Eyecare, Inc is an health care organization with primary practice located at 1415 7Th St S , Clanton AL 35045-3746. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Mallard Eyecare, Inc can be contacted via phone (205) 755-7114, or through Mallard, Bonnie via phone (205) 755-7114.

Contact Information

Primary practice address
1415 7Th St S Clanton AL 35045-3746
Phone: (205) 755-7114
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mallard, Bonnie Doctor of Optometry (OD)
Phone: (205) 755-7114

Health care specialties

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

Profile Details

NPI number 1942529292
LBN Legal business name Mallard Eyecare, Inc
DBA Doing business as
Authorized official Mallard, Bonnie Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2010
Last updated May 26th, 2010 - about 15 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 1942529292 NPPES
Alabama MEDICAID 009933443

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