Beatific Vision
LBN: Siloam Medical
Beatific Vision is an health care organization with primary practice located at 15123 Ogden Loop , Odessa FL 33556-4633. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Glaucoma Specialist, Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty.
Siloam Medical can be contacted via phone (860) 268-6617, or through Bottaro, Nicholas via phone (860) 268-6617.
Contact Information
Primary practice address
15123 Ogden Loop
Odessa FL 33556-4633
Phone: (860) 268-6617
Fax:
Website:
Authorized official contact:
Name: Bottaro, Nicholas Doctor of Osteopathy (DO)
Phone: (860) 268-6617
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ||
| Allopathic & Osteopathic Physicians / Glaucoma Specialist | 207WX0009X | ||
| Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery | 207WX0200X |
Profile Details
| NPI number | 1154996072 |
|---|---|
| LBN Legal business name | Siloam Medical |
| DBA Doing business as | Beatific Vision |
| Authorized official | Bottaro, Nicholas Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 24th, 2021 |
| Last updated | Sep 14th, 2023 - about 2 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 | 1154996072 | NPPES |
| Florida | MEDICAID | 108311400 |
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