Phoenix Eye Care Inc

LBN: Phoenix Eye Care Inc
Phoenix Eye Care Inc is an health care organization with primary practice located at 10000 Brookpark Rd , Cleveland OH 44130-1102. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Phoenix Eye Care Inc can be contacted via phone (216) 741-6786, or through Li, Ting via phone (216) 741-6786.

Contact Information

Primary practice address
10000 Brookpark Rd Cleveland OH 44130-1102
Phone: (216) 741-6786
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Li, Ting Doctor of Optometry (OD)
Phone: (216) 741-6786

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 5799/T2713 Ohio

Profile Details

NPI number 1356642623
LBN Legal business name Phoenix Eye Care Inc
DBA Doing business as
Authorized official Li, Ting Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 3rd, 2010
Last updated Mar 4th, 2024 - about 6 months 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 1356642623 NPPES
Ohio Other 3137279 MEDICAID GROUP NUMBER
Ohio MEDICAID 3041658 MEDICAID GROUP NUMBER
Ohio Other 4281341 MEDICAID GROUP NUMBER
Ohio Other 1346405487 MEDICAID GROUP NUMBER

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