The Spectacle Shop Llc

LBN: Spectacle Shop Llc
The Spectacle Shop Llc is an health care organization with primary practice located at 415 W 3Rd St , Yankton SD 57078-4201. 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. Spectacle Shop Llc can be contacted via phone (605) 665-9638, or through Schelling, Hailey via phone (605) 665-9638.

Contact Information

Primary practice address
415 W 3Rd St Yankton SD 57078-4201
Phone: (605) 665-9638
Fax: (605) 665-0526
Website:
Map and Directions
Authorized official contact:
Name: Schelling, Hailey
Phone: (605) 665-9638

Health care specialties

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

Profile Details

NPI number 1992792600
LBN Legal business name Spectacle Shop Llc
DBA Doing business as The Spectacle Shop Llc
Authorized official Schelling, Hailey
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2005
Last updated Sep 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992792600 NPPES
Nebraska MEDICAID 100249545-00
Nebraska MEDICAID 9281510

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