Eau Claire Optical

LBN: Medical Eye Clinic Of Eau Claire
Eau Claire Optical is an health care organization with primary practice located at 2715 Damon St Suite 200, Eau Claire WI 54701-2634. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Medical Eye Clinic Of Eau Claire can be contacted via phone (715) 834-5644, or through Olson, Roy A via phone (715) 834-5644.

Contact Information

Primary practice address
2715 Damon St Suite 200 Eau Claire WI 54701-2634
Phone: (715) 834-5644
Fax: (715) 834-5674
Website:
Map and Directions
Authorized official contact:
Name: Olson, Roy A Doctor of Medicine (MD)
Phone: (715) 834-5644

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 17337 Wisconsin

Profile Details

NPI number 1073710968
LBN Legal business name Medical Eye Clinic Of Eau Claire
DBA Doing business as Eau Claire Optical
Authorized official Olson, Roy A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2007
Last updated Apr 21st, 2015 - about 10 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 1073710968 NPPES
Wisconsin MEDICAID 38444400

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