Trillium Vision Care Of New Lexington, Llc

LBN: Newark Vision Care Llc
Trillium Vision Care Of New Lexington, Llc is an health care organization with primary practice located at 391 Lincoln Park Dr , New Lexington OH 43764-1080. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Newark Vision Care Llc can be contacted via phone (740) 342-1784, or through Ryen, Douglas J via phone (614) 893-8114.

Contact Information

Primary practice address
391 Lincoln Park Dr New Lexington OH 43764-1080
Phone: (740) 342-1784
Fax: (740) 342-1791
Website:
Map and Directions
Authorized official contact:
Name: Ryen, Douglas J Doctor of Optometry (OD)
Phone: (614) 893-8114

Health care specialties

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

Profile Details

NPI number 1497357081
LBN Legal business name Newark Vision Care Llc
DBA Doing business as Trillium Vision Care Of New Lexington, Llc
Authorized official Ryen, Douglas J Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 10th, 2020
Last updated Dec 4th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497357081 NPPES
Ohio MEDICAID 0425236

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