Optometric Center Of Charles City Pc

LBN: Optometric Center Of Charles City Pc
Optometric Center Of Charles City Pc is an health care organization with primary practice located at 800 Clark St , Charles City IA 50616-2218. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Optometric Center Of Charles City Pc can be contacted via phone (641) 228-1732, or through Burnham, Paul Howard via phone (641) 228-1732.

Contact Information

Primary practice address
800 Clark St Charles City IA 50616-2218
Phone: (641) 228-1732
Fax: (641) 228-2434
Website:
Map and Directions
Authorized official contact:
Name: Burnham, Paul Howard Doctor of Optometry (OD)
Phone: (641) 228-1732

Health care specialties

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

Profile Details

NPI number 1972596732
LBN Legal business name Optometric Center Of Charles City Pc
DBA Doing business as
Authorized official Burnham, Paul Howard Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 26th, 2005
Last updated Sep 25th, 2015 - about 10 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 1972596732 NPPES
Iowa MEDICAID 0458463

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