Myrtle Grove Optical, Llc

LBN: Myrtle Grove Optical, Llc
Myrtle Grove Optical, Llc is an health care organization with primary practice located at 1917 Tradd Ct , Wilmington NC 28401-6638. 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. Myrtle Grove Optical, Llc can be contacted via phone (910) 762-2300, or through Kelly, Timothy G. via phone (910) 762-2300.

Contact Information

Primary practice address
1917 Tradd Ct Wilmington NC 28401-6638
Phone: (910) 762-2300
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kelly, Timothy G. Doctor of Medicine (MD)
Phone: (910) 762-2300

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 0735 North Carolina

Profile Details

NPI number 1972716645
LBN Legal business name Myrtle Grove Optical, Llc
DBA Doing business as
Authorized official Kelly, Timothy G. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2007
Last updated Aug 22nd, 2020 - about 4 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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