Shiloh Optometric Center Inc

LBN: Shiloh Optometric Center Inc
Shiloh Optometric Center Inc is an health care organization with primary practice located at 5419 N Main St , Dayton OH 45415-3454. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Shiloh Optometric Center Inc can be contacted via phone (937) 278-0675, or through Stine, David Morris via phone (937) 278-0675.

Contact Information

Primary practice address
5419 N Main St Dayton OH 45415-3454
Fax: (937) 278-9535
Website:
Authorized official contact:
Name: Stine, David Morris Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X Ohio

Profile Details

NPI number 1104993229
LBN Legal business name Shiloh Optometric Center Inc
DBA Doing business as
Authorized official Stine, David Morris Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2006
Last updated Jul 21st, 2022 - about 3 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 1104993229 NPPES
Ohio Other SH9329161 ANTHEM GROUP NUMBER
Ohio Other 0645426 ANTHEM GROUP NUMBER
Ohio MEDICAID 2353859 ANTHEM GROUP NUMBER

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