Northwest Eye Clinic Optical Shop

LBN: Northwest Eye Clinic Inc., P.S.
Northwest Eye Clinic Optical Shop is an health care organization with primary practice located at 3015 Squalicum Pkwy Suite 270, Bellingham WA 98225-1945. 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. Northwest Eye Clinic Inc., P.S. can be contacted via phone (360) 733-4800, or through Matteucci, Vincent Eriberto via phone (360) 733-4800.

Contact Information

Primary practice address
3015 Squalicum Pkwy Suite 270 Bellingham WA 98225-1945
Fax: (360) 733-2879
Website:
Authorized official contact:
Name: Matteucci, Vincent Eriberto Doctor of Medicine (MD)

Health care specialties

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

Profile Details

NPI number 1992880553
LBN Legal business name Northwest Eye Clinic Inc., P.S.
DBA Doing business as Northwest Eye Clinic Optical Shop
Authorized official Matteucci, Vincent Eriberto Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 25th, 2006
Last updated Feb 24th, 2011 - about 14 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 1992880553 NPPES
Washington MEDICAID 2019032

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