Pro Vision Optometric Center Pa

LBN: Pro Vision Optometric Center Pa
Pro Vision Optometric Center Pa is an health care organization with primary practice located at 12 Anna Louise Ln , Roanoke Rapids NC 27870-8648. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Pro Vision Optometric Center Pa can be contacted via phone (252) 519-9401, or through Pesteanu, Diana via phone (252) 519-9401.

Contact Information

Primary practice address
12 Anna Louise Ln Roanoke Rapids NC 27870-8648
Phone: (252) 519-9401
Fax: (252) 519-9404
Website:
Map and Directions
Authorized official contact:
Name: Pesteanu, Diana Doctor of Optometry (OD)
Phone: (252) 519-9401

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1506 North Carolina

Profile Details

NPI number 1285767814
LBN Legal business name Pro Vision Optometric Center Pa
DBA Doing business as
Authorized official Pesteanu, Diana Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2007
Last updated Jan 14th, 2009 - about 15 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 1285767814 NPPES
North Carolina MEDICAID 890243L
North Carolina MEDICAID 890928E

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