Thibodaux Vision Center Inc

LBN: Thibodaux Vision Center Inc
Thibodaux Vision Center Inc is an health care organization with primary practice located at 640 St Charles St , Thibodaux LA 70301. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Thibodaux Vision Center Inc can be contacted via phone (985) 446-1717, or through Roy, Mark Joseph via phone (985) 446-1717.

Contact Information

Primary practice address
640 St Charles St Thibodaux LA 70301
Phone: (985) 446-1717
Fax: (985) 446-9542
Website:
Map and Directions
Authorized official contact:
Name: Roy, Mark Joseph Doctor of Optometry (OD)
Phone: (985) 446-1717

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1354488T Louisiana

Profile Details

NPI number 1568634038
LBN Legal business name Thibodaux Vision Center Inc
DBA Doing business as
Authorized official Roy, Mark Joseph Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 25th, 2008
Last updated Mar 25th, 2008 - about 17 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 1568634038 NPPES
Louisiana MEDICAID 1128015

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