Shallcross Optical

LBN: Rob Smith
Shallcross Optical is an health care organization with primary practice located at 736 Lapeer Ave , Port Huron MI 48060-4410. The organization recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as the primary health care specialty. Rob Smith can be contacted via phone (810) 982-4451, or through Smith, Rob K via phone (810) 982-4451.

Contact Information

Primary practice address
736 Lapeer Ave Port Huron MI 48060-4410
Phone: (810) 982-4451
Fax: (810) 982-8539
Website:
Map and Directions
Authorized official contact:
Name: Smith, Rob K
Phone: (810) 982-4451

Health care specialties

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

Profile Details

NPI number 1124297338
LBN Legal business name Rob Smith
DBA Doing business as Shallcross Optical
Authorized official Smith, Rob K
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2008
Last updated Jul 24th, 2008 - about 16 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 1124297338 NPPES
Michigan Other 540G410540 BCBS

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