Small Mall Vision Center

LBN: Small Mall Vision Center
Small Mall Vision Center is an health care organization with primary practice located at 3600 S Dort Hwy , Flint MI 48507-2093. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Small Mall Vision Center can be contacted via phone (810) 743-2830, or through Landis, Julie via phone (810) 743-2830.

Contact Information

Primary practice address
3600 S Dort Hwy Flint MI 48507-2093
Phone: (810) 743-2830
Fax: (810) 743-1729
Website:
Map and Directions
Authorized official contact:
Name: Landis, Julie
Phone: (810) 743-2830

Health care specialties

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

Profile Details

NPI number 1861513780
LBN Legal business name Small Mall Vision Center
DBA Doing business as
Authorized official Landis, Julie
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2007
Last updated Aug 22nd, 2020 - about 5 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 1861513780 NPPES
Michigan Other 0B565030 BCBS OF MI

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