D/B/A Studley Ocular Laboratories

LBN: Peter J Kazanovicz
D/B/A Studley Ocular Laboratories is an health care organization with primary practice located at 1685 Congress Street , Portland ME 04102-2776. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Peter J Kazanovicz can be contacted via phone (207) 772-1467, or through Kazanovicz, Peter J via phone (603) 622-5200.

Contact Information

Primary practice address
1685 Congress Street Portland ME 04102-2776
Phone: (207) 772-1467
Fax: (603) 644-2354
Website:
Map and Directions
Authorized official contact:
Name: Kazanovicz, Peter J B.C.O.
Phone: (603) 622-5200

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1710161773
LBN Legal business name Peter J Kazanovicz
DBA Doing business as D/B/A Studley Ocular Laboratories
Authorized official Kazanovicz, Peter J B.C.O.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2007
Last updated Oct 30th, 2012 - about 13 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 1710161773 NPPES
Maine MEDICAID 141840000

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