Realeyes Eye Care, Llc

LBN: Realeyes Eye Care, Llc
Realeyes Eye Care, Llc is an health care organization with primary practice located at 47B Poliquin Dr , Conway NH 03818-1380. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Realeyes Eye Care, Llc can be contacted via phone (734) 674-4738, or through Sponseller, Brian via phone (734) 674-4738.

Contact Information

Primary practice address
47B Poliquin Dr Conway NH 03818-1380
Phone: (734) 674-4738
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sponseller, Brian Doctor of Medicine (MD)
Phone: (734) 674-4738

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 799G New Hampshire

Profile Details

NPI number 1770862716
LBN Legal business name Realeyes Eye Care, Llc
DBA Doing business as
Authorized official Sponseller, Brian Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2011
Last updated Apr 30th, 2012 - about 12 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 1770862716 NPPES
Maine MEDICAID 1770862716

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