Optical Experience

LBN: Stephen H. Blaydes, Md
Optical Experience is an health care organization with primary practice located at 1109 W Cumberland Rd , Bluefield WV 24701-4562. 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. Stephen H. Blaydes, Md can be contacted via phone (304) 327-8128, or through Blaydes, Stephen H. via phone (304) 327-8128.

Contact Information

Primary practice address
1109 W Cumberland Rd Bluefield WV 24701-4562
Fax:
Website:
Authorized official contact:
Name: Blaydes, Stephen H. Doctor of Medicine (MD)

Health care specialties

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

Profile Details

NPI number 1730366030
LBN Legal business name Stephen H. Blaydes, Md
DBA Doing business as Optical Experience
Authorized official Blaydes, Stephen H. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2008
Last updated Feb 21st, 2008 - about 16 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 1730366030 NPPES
West Virginia MEDICAID 0151800000

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