Martinsville Vision Clinic Pc

LBN: Martinsville Vision Clinic Pc
Martinsville Vision Clinic Pc is an health care organization with primary practice located at 219 E Washington St , Martinsville IN 46151-1554. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Martinsville Vision Clinic Pc can be contacted via phone (765) 342-6654, or through Cunningham, Aaron B via phone (765) 342-6654.

Contact Information

Primary practice address
219 E Washington St Martinsville IN 46151-1554
Phone: (765) 342-6654
Fax: (765) 342-0418
Website:
Map and Directions
Authorized official contact:
Name: Cunningham, Aaron B Doctor of Optometry (OD)
Phone: (765) 342-6654

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18001572B Indiana
Eye and Vision Services Providers / Optometrist 152W00000X 18002989B Indiana
Eye and Vision Services Providers / Optometrist 152W00000X 18003161B Indiana

Profile Details

NPI number 1679673495
LBN Legal business name Martinsville Vision Clinic Pc
DBA Doing business as
Authorized official Cunningham, Aaron B Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2006
Last updated Oct 2nd, 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 1679673495 NPPES
Indiana Other 1881693547 KELLY CUNNINGHAM NPI
Indiana MEDICAID 200242470A KELLY CUNNINGHAM NPI
Indiana Other 1023017639 KELLY CUNNINGHAM NPI
Indiana MEDICAID 200076560A KELLY CUNNINGHAM NPI
Indiana MEDICAID 200242380A KELLY CUNNINGHAM NPI
Indiana MEDICAID 200341850A KELLY CUNNINGHAM NPI
Indiana Other 1871592535 KELLY CUNNINGHAM NPI

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