Nelson & Endicott An Optometric Corporation

LBN: Nelson & Endicott An Optometric Corporation
Nelson & Endicott An Optometric Corporation is an health care organization with primary practice located at 15909 Main St , La Puente CA 91744-4720. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Nelson & Endicott An Optometric Corporation can be contacted via phone (626) 961-0877, or through Nelson, John C via phone (626) 961-0877.

Contact Information

Primary practice address
15909 Main St La Puente CA 91744-4720
Phone: (626) 961-0877
Fax: (909) 468-4603
Website:
Map and Directions
Authorized official contact:
Name: Nelson, John C Doctor of Optometry (OD)
Phone: (626) 961-0877

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 6093T California

Profile Details

NPI number 1538130158
LBN Legal business name Nelson & Endicott An Optometric Corporation
DBA Doing business as
Authorized official Nelson, John C Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2006
Last updated Sep 1st, 2009 - about 16 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 1538130158 NPPES
California MEDICAID GSD001241

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