Professional Opticians Psc

LBN: Professional Opticians Psc
Professional Opticians Psc is an health care organization with primary practice located at 165 Moore Dr , Lexington KY 40503. The organization recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as the primary health care specialty. Professional Opticians Psc can be contacted via phone (859) 278-5409, or through Holtmann, John C via phone (859) 278-5409.

Contact Information

Primary practice address
165 Moore Dr Lexington KY 40503
Fax: (859) 276-3491
Website:
Authorized official contact:
Name: Holtmann, John C ABO

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 0366 Kentucky

Profile Details

NPI number 1194834713
LBN Legal business name Professional Opticians Psc
DBA Doing business as
Authorized official Holtmann, John C ABO
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1194834713 NPPES
Kentucky Other 000000066363 ANTHEM BCBS
Kentucky Other 14560 ANTHEM BCBS
Kentucky MEDICAID 52903663 ANTHEM BCBS

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