Vision Care Associates Pc

LBN: Vision Care Associates Pc
Vision Care Associates Pc is an health care organization with primary practice located at 7750 W Jefferson Blvd , Fort Wayne IN 46804. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty. Vision Care Associates Pc can be contacted via phone (260) 459-9595, or through Eggebrecht, Susan L via phone (260) 459-9595.

Contact Information

Primary practice address
7750 W Jefferson Blvd Fort Wayne IN 46804
Fax: (260) 459-9494
Website:
Authorized official contact:
Name: Eggebrecht, Susan L Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X Indiana
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X Indiana

Profile Details

NPI number 1861585655
LBN Legal business name Vision Care Associates Pc
DBA Doing business as
Authorized official Eggebrecht, Susan L Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2006
Last updated Nov 14th, 2013 - about 11 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 1861585655 NPPES
Indiana MEDICAID 200225590A

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