Southcoast Optical Shop, Inc.

LBN: Southcoast Optical Shop, Inc.
Southcoast Optical Shop, Inc. is an health care organization with primary practice located at 300A Faunce Corner Rd Suite 101, North Dartmouth MA 02747-1257. The organization recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as the primary health care specialty. Southcoast Optical Shop, Inc. can be contacted via phone (508) 995-1963, or through Horan, Michael J via phone (508) 995-1963.

Contact Information

Primary practice address
300A Faunce Corner Rd Suite 101 North Dartmouth MA 02747-1257
Phone: (508) 995-1963
Fax: (508) 995-6808
Website:
Map and Directions
Authorized official contact:
Name: Horan, Michael J
Phone: (508) 995-1963

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 124350 Massachusetts

Profile Details

NPI number 1740232743
LBN Legal business name Southcoast Optical Shop, Inc.
DBA Doing business as
Authorized official Horan, Michael J
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2006
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 1740232743 NPPES
Massachusetts Other Q04198 MA/BC DME
Massachusetts Other 616948 MA/BC DME
Massachusetts MEDICAID 9732390 MA/BC DME

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