Optix Eyecare Center Od Pllc

LBN: Optix Eyecare Center Od Pllc
Optix Eyecare Center Od Pllc is an health care organization with primary practice located at 2812 Erwin Rd Ste 201, Durham NC 27705. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Optix Eyecare Center Od Pllc can be contacted via phone (919) 384-0784, or through Newman, Mark Stuart via phone (919) 384-0784.

Contact Information

Primary practice address
2812 Erwin Rd Ste 201 Durham NC 27705
Phone: (919) 384-0784
Fax: (919) 321-6249
Website:
Map and Directions
Authorized official contact:
Name: Newman, Mark Stuart Doctor of Optometry (OD)
Phone: (919) 384-0784

Health care specialties

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

Profile Details

NPI number 1073621330
LBN Legal business name Optix Eyecare Center Od Pllc
DBA Doing business as
Authorized official Newman, Mark Stuart Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 28th, 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 1073621330 NPPES
Other 09501 BCBS NC
MEDICAID 8909501 BCBS NC

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