William A. Olivos, Od, Pa

LBN: William A. Olivos, Od, Pa
William A. Olivos, Od, Pa is an health care organization with primary practice located at 4976 S 25Th St , Fort Pierce FL 34981-4923. The organization recently has only one registered license in Eye and Vision Services Providers / Low Vision Rehabilitation, which is considered as the primary health care specialty. William A. Olivos, Od, Pa can be contacted via phone (772) 460-8487, or through Olivos, William A via phone (772) 460-8487.

Contact Information

Primary practice address
4976 S 25Th St Fort Pierce FL 34981-4923
Phone: (772) 460-8487
Fax: (772) 460-0225
Website:
Map and Directions
Authorized official contact:
Name: Olivos, William A Doctor of Optometry (OD)
Phone: (772) 460-8487

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X OPC 3500 Florida

Profile Details

NPI number 1265530703
LBN Legal business name William A. Olivos, Od, Pa
DBA Doing business as
Authorized official Olivos, William A Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 29th, 2015 - 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 1265530703 NPPES
Florida MEDICAID 620569100
Florida Other 5718990001

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