Orchard Eye Center Pc

LBN: Orchard Eye Center Pc
Orchard Eye Center Pc is an health care organization with primary practice located at 2403 N 12Th St , Grand Junction CO 81501-8130. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Other Service Providers / Specialist. Other Service Providers / Specialist is the primary health care specialty. Orchard Eye Center Pc can be contacted via phone (970) 243-8697, or through Routh, Kelley R via phone (970) 243-8697.

Contact Information

Primary practice address
2403 N 12Th St Grand Junction CO 81501-8130
Phone: (970) 243-8697
Fax: (970) 243-8698
Website:
Map and Directions
Authorized official contact:
Name: Routh, Kelley R CPC
Phone: (970) 243-8697

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2476 Colorado
Other Service Providers / Specialist 174400000X 36956 Colorado

Profile Details

NPI number 1679634471
LBN Legal business name Orchard Eye Center Pc
DBA Doing business as
Authorized official Routh, Kelley R CPC
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2006
Last updated Apr 20th, 2008 - about 16 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 1679634471 NPPES
Colorado Other 917805 SECURE HORIZON
Colorado Other 634810 SECURE HORIZON
Colorado Other GEG9008 SECURE HORIZON
Colorado MEDICAID 01369560 SECURE HORIZON

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