Steven W Shute O D Inc

LBN: Steven W Shute O D Inc
Steven W Shute O D Inc is an health care organization with primary practice located at 305 Pollasky Ave , Clovis CA 93612-1139. 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. Steven W Shute O D Inc can be contacted via phone (559) 299-4257, or through Shute, Steven William via phone (559) 299-4257.

Contact Information

Primary practice address
305 Pollasky Ave Clovis CA 93612-1139
Phone: (559) 299-4257
Fax: (559) 299-7702
Website:
Map and Directions
Authorized official contact:
Name: Shute, Steven William Doctor of Optometry (OD)
Phone: (559) 299-4257

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 5777 California

Profile Details

NPI number 1649593021
LBN Legal business name Steven W Shute O D Inc
DBA Doing business as
Authorized official Shute, Steven William Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2010
Last updated Mar 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649593021 NPPES
California MEDICAID SD0057770

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