Eye Doc

LBN: Pham-Vang Optometry Llc
Eye Doc is an health care organization with primary practice located at 7074 Brooklyn Blvd , Brooklyn Center MN 55429-1370. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Managed Care Organizations / Exclusive Provider Organization. Eye and Vision Services Providers / Optometrist is the primary health care specialty. Pham-Vang Optometry Llc can be contacted via phone (763) 316-4193, or through Pham-Vang, Sandy via phone (763) 639-0103.

Contact Information

Primary practice address
7074 Brooklyn Blvd Brooklyn Center MN 55429-1370
Fax: (763) 363-0002
Website:
Authorized official contact:
Name: Pham-Vang, Sandy Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3056 Minnesota
Managed Care Organizations / Exclusive Provider Organization 302F00000X 3056 Minnesota

Profile Details

NPI number 1831330679
LBN Legal business name Pham-Vang Optometry Llc
DBA Doing business as Eye Doc
Authorized official Pham-Vang, Sandy Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2009
Last updated Nov 8th, 2023 - about last year

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 1831330679 NPPES
Minnesota Other C05200 PTAN
Minnesota Other 1689607780 PTAN
Minnesota Other 1831330679 PTAN

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