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
Fax: (864) 587-1936
Website:
Authorized official contact:
Name: Roel, Lawrence Edmund Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962775817 NPPES
South Carolina MEDICAID 1164472098

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