Westside Optical Shop,Llc
LBN: Westside Optical Shop,Llc
Westside Optical Shop,Llc is an health care organization with primary practice located at 1413 John B White Sr Blvd Suite A, Spartanburg SC 29306-3995. 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.
Westside Optical Shop,Llc can be contacted via phone (864) 587-1039, or through Roel, Lawrence Edmund via phone (864) 542-1308.
Contact Information
Primary practice address
1413 John B White Sr Blvd Suite A
Spartanburg SC 29306-3995
Phone: (864) 587-1039
Fax: (864) 587-1936
Website:
Authorized official contact:
Name: Roel, Lawrence Edmund Doctor of Medicine (MD)
Phone: (864) 542-1308
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X | 120021119 | South Carolina |
Profile Details
NPI number | 1962775817 |
---|---|
LBN Legal business name | Westside Optical Shop,Llc |
DBA Doing business as | |
Authorized official | Roel, Lawrence Edmund Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Feb 22nd, 2012 |
Last updated | May 31st, 2012 - about 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1962775817 | NPPES |
South Carolina | MEDICAID | 1164472098 |
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