Mountain State Eye Associates, Pllc
LBN: Mountain State Eye Associates, Pllc
Mountain State Eye Associates, Pllc is an health care organization with primary practice located at 1306 Kanawha Blvd East , Charleston WV 25301-3001. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty.
Mountain State Eye Associates, Pllc can be contacted via phone (304) 353-0304, or through Bounds, Anne Elizabeth via phone (304) 353-0222.
Contact Information
Primary practice address
1306 Kanawha Blvd East
Charleston WV 25301-3001
Phone: (304) 353-0304
Fax: (304) 353-0218
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | WV8200D | West Virginia |
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | WV20725 | West Virginia |
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | WV21067 | West Virginia |
Profile Details
NPI number | 1437493319 |
---|---|
LBN Legal business name | Mountain State Eye Associates, Pllc |
DBA Doing business as | |
Authorized official | Bounds, Anne Elizabeth |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Nov 16th, 2012 |
Last updated | Dec 5th, 2012 - about 12 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 | 1437493319 | NPPES |
West Virginia | MEDICAID | 0149311000 | |
West Virginia | MEDICAID | 3810005917 | |
West Virginia | MEDICAID | 2004585000 |
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