Stephen S Jennings Od Llc
LBN: Stephen S Jennings Od Llc
Stephen S Jennings Od Llc is an health care organization with primary practice located at 2301 Hilliard Rd Suite 3, Richmond VA 23228-4525. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Stephen S Jennings Od Llc can be contacted via phone (804) 262-5142, or through Jennings, Stephen Selph via phone (804) 262-5142.
Contact Information
Primary practice address
2301 Hilliard Rd Suite 3
Richmond VA 23228-4525
Phone: (804) 262-5142
Fax: (804) 262-6257
Website:
Authorized official contact:
Name: Jennings, Stephen Selph Doctor of Optometry (OD)
Phone: (804) 262-5142
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X |
Profile Details
| NPI number | 1558373621 |
|---|---|
| LBN Legal business name | Stephen S Jennings Od Llc |
| DBA Doing business as | |
| Authorized official | Jennings, Stephen Selph Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 13th, 2006 |
| Last updated | Feb 23rd, 2010 - about 15 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 | 1558373621 | NPPES |
| Virginia | Other | 194180 | ANTHEM 2ND OFFICE |
| Virginia | Other | 194188 | ANTHEM 2ND OFFICE |
| Virginia | MEDICAID | 010300274 | ANTHEM 2ND OFFICE |
| Virginia | MEDICAID | 010300258 | ANTHEM 2ND OFFICE |
| Virginia | Other | 2146813 | ANTHEM 2ND OFFICE |
| Virginia | Other | 271018 | ANTHEM 2ND OFFICE |
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