Lavon Drake Ocularist

LBN: Ocular Prosthetics Inc
Lavon Drake Ocularist is an health care organization with primary practice located at 4557 Technology Dr #5, Wilmington NC 28405-2145. The organization recently has only one registered license in Eye and Vision Services Providers / Ocularist, which is considered as the primary health care specialty. Ocular Prosthetics Inc can be contacted via phone (800) 579-6363, or through Drake, Lavon H via phone (252) 531-3153.

Contact Information

Primary practice address
4557 Technology Dr #5 Wilmington NC 28405-2145
Phone: (800) 579-6363
Fax: (800) 579-6363
Website:
Map and Directions
Authorized official contact:
Name: Drake, Lavon H
Phone: (252) 531-3153

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Ocularist 156FX1700X

Profile Details

NPI number 1619941168
LBN Legal business name Ocular Prosthetics Inc
DBA Doing business as Lavon Drake Ocularist
Authorized official Drake, Lavon H
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1619941168 NPPES
South Carolina MEDICAID DE2629

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