Paul W Beaver Od Pc

LBN: Paul W Beaver Od Pc
Paul W Beaver Od Pc is an health care organization with primary practice located at 105 S Main Ave , Sioux Center IA 51250-1535. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Paul W Beaver Od Pc can be contacted via phone (712) 722-1270, or through Beaver, Paul W via phone (712) 722-1270.

Contact Information

Primary practice address
105 S Main Ave Sioux Center IA 51250-1535
Phone: (712) 722-1270
Fax: (712) 722-1282
Website:
Map and Directions
Authorized official contact:
Name: Beaver, Paul W Doctor of Optometry (OD)
Phone: (712) 722-1270

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1885 Iowa

Profile Details

NPI number 1528043494
LBN Legal business name Paul W Beaver Od Pc
DBA Doing business as
Authorized official Beaver, Paul W Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2005
Last updated Mar 21st, 2008 - about 17 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 1528043494 NPPES
Iowa MEDICAID 0282442
Iowa Other 28244

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