John W Shouse

LBN: Shouse Optical Service Inc
John W Shouse is an health care organization with primary practice located at 101 Malabu Dr # 7 , Lexington KY 40503-3141. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Shouse Optical Service Inc can be contacted via phone (859) 276-1594, or through Shouse, John W via phone (859) 276-1594.

Contact Information

Primary practice address
101 Malabu Dr # 7 Lexington KY 40503-3141
Phone: (859) 276-1594
Fax: (859) 277-6421
Website:
Map and Directions
Authorized official contact:
Name: Shouse, John W
Phone: (859) 276-1594

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X

Profile Details

NPI number 1457514838
LBN Legal business name Shouse Optical Service Inc
DBA Doing business as John W Shouse
Authorized official Shouse, John W
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2008
Last updated Nov 19th, 2012 - about 13 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 1457514838 NPPES
Kentucky MEDICAID 52902384

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