Ozark Retina & Macula

LBN: Ozark Retina & Macula
Ozark Retina & Macula is an health care organization with primary practice located at 1230 E Kingsley St Ste A , Springfield MO 65804-7231. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Ozark Retina & Macula can be contacted via phone (417) 830-0889, or through Benedett, Robert Edwin via phone (417) 830-0889.

Contact Information

Primary practice address
1230 E Kingsley St Ste A Springfield MO 65804-7231
Phone: (417) 830-0889
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Benedett, Robert Edwin Doctor of Medicine (MD)
Phone: (417) 830-0889

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MDR3K52 Missouri

Profile Details

NPI number 1558766006
LBN Legal business name Ozark Retina & Macula
DBA Doing business as
Authorized official Benedett, Robert Edwin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2014
Last updated Oct 27th, 2014 - about 11 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 1558766006 NPPES
Missouri Other 1194724211 INDIVIDUAL NPI

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