Summit Park Optical

LBN: Timothy S. Jarvi Md Pc
Summit Park Optical is an health care organization with primary practice located at 2325 Summit Park Dr Suite A, Petoskey MI 49770-8685. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optician, Suppliers / Durable Medical Equipment & Medical Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Timothy S. Jarvi Md Pc can be contacted via phone (231) 348-3636, or through Jarvi, Timothy S via phone (231) 348-3636.

Contact Information

Primary practice address
2325 Summit Park Dr Suite A Petoskey MI 49770-8685
Fax: (231) 348-3677
Website:
Authorized official contact:
Name: Jarvi, Timothy S Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 4301060047 Michigan

Profile Details

NPI number 1134345036
LBN Legal business name Timothy S. Jarvi Md Pc
DBA Doing business as Summit Park Optical
Authorized official Jarvi, Timothy S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2007
Last updated May 5th, 2010 - about 14 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 1134345036 NPPES
Michigan MEDICAID 4928582

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