Medical Village Optical
LBN: Medical Village Optical Shoppe Inc
Medical Village Optical is an health care organization with primary practice located at 31815 Southfield Rd Suite 12, Beverly Hills MI 48025-5471. The organization recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Optician, Allopathic & Osteopathic Physicians / Ophthalmology. Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Medical Village Optical Shoppe Inc can be contacted via phone (248) 645-2220, or through Knoerr, Roy via phone (248) 645-2220.
Contact Information
Primary practice address
31815 Southfield Rd Suite 12
Beverly Hills MI 48025-5471
Phone: (248) 645-2220
Fax: (877) 547-8277
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4901002468 | Michigan |
| Eye and Vision Services Providers / Optician | 156FX1800X | ||
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X |
Profile Details
| NPI number | 1073572962 |
|---|---|
| LBN Legal business name | Medical Village Optical Shoppe Inc |
| DBA Doing business as | Medical Village Optical |
| Authorized official | Knoerr, Roy |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 21st, 2006 |
| Last updated | May 17th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073572962 | NPPES |
| Michigan | MEDICAID | 1953840 |
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