The Spec Shop Ophthalmic Dispenser, Pllc

LBN: The Spec Shop Ophthalmic Dispenser, Pllc
The Spec Shop Ophthalmic Dispenser, Pllc is an health care organization with primary practice located at 1176 Main St , Buffalo NY 14209-2102. The organization recently has only one registered license in Eye and Vision Services Providers / Ophthalmic, which is considered as the primary health care specialty. The Spec Shop Ophthalmic Dispenser, Pllc can be contacted via phone (716) 881-7926, or through Currie, Drew William via phone (716) 881-7926.

Contact Information

Primary practice address
1176 Main St Buffalo NY 14209-2102
Fax:
Website:
Authorized official contact:
Name: Currie, Drew William OPTICIAN

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Ophthalmic 156FX1100X 55-009312 New York

Profile Details

NPI number 1144710708
LBN Legal business name The Spec Shop Ophthalmic Dispenser, Pllc
DBA Doing business as
Authorized official Currie, Drew William OPTICIAN
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2018
Last updated May 18th, 2018 - about 6 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 1144710708 NPPES
New York MEDICAID 03541260

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