Baldwin Optical
LBN: Robert E. Baldwin
Baldwin Optical is an health care organization with primary practice located at 1097 N Main St , Logan UT 84341-2215. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Robert E. Baldwin can be contacted via phone (435) 752-6110, or through Baldwin, Robert E. via phone (435) 752-6110.
Contact Information
Primary practice address
1097 N Main St
Logan UT 84341-2215
Phone: (435) 752-6110
Fax: (435) 752-1935
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 112533-9934 | Utah |
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X | 08-00959 | Utah |
Profile Details
| NPI number | 1356516801 |
|---|---|
| LBN Legal business name | Robert E. Baldwin |
| DBA Doing business as | Baldwin Optical |
| Authorized official | Baldwin, Robert E. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 25th, 2008 |
| Last updated | Nov 18th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356516801 | NPPES |
| Utah | MEDICAID | 529085657021 | |
| Utah | MEDICAID | 990002180002 |
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