Wiles & Associates 6970 Pa

LBN: Wiles & Associates 6970 Pa
Wiles & Associates 6970 Pa is an health care organization with primary practice located at 6767 103Rd St , Jacksonville FL 32210-7135. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Wiles & Associates 6970 Pa can be contacted via phone (904) 887-0836, or through Wiles, Richard Andrew via phone (904) 887-0836.

Contact Information

Primary practice address
6767 103Rd St Jacksonville FL 32210-7135
Phone: (904) 887-0836
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wiles, Richard Andrew Doctor of Optometry (OD)
Phone: (904) 887-0836

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC2139 Florida

Profile Details

NPI number 1588842033
LBN Legal business name Wiles & Associates 6970 Pa
DBA Doing business as
Authorized official Wiles, Richard Andrew Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2008
Last updated Jul 2nd, 2014 - about 10 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 1588842033 NPPES
Florida MEDICAID 078689600

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