Wilson Eyecare Professionals Pc

LBN: Wilson Eyecare Professionals Pc
Wilson Eyecare Professionals Pc is an health care organization with primary practice located at 400 W Green Meadows Dr Suite 108, Greenfield IN 46140-3204. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Wilson Eyecare Professionals Pc can be contacted via phone (317) 477-3937, or through Wilson, Douglas J via phone (317) 477-3937.

Contact Information

Primary practice address
400 W Green Meadows Dr Suite 108 Greenfield IN 46140-3204
Fax: (317) 477-3939
Website:
Authorized official contact:
Name: Wilson, Douglas J Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18002895AB Indiana

Profile Details

NPI number 1669755575
LBN Legal business name Wilson Eyecare Professionals Pc
DBA Doing business as
Authorized official Wilson, Douglas J Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2011
Last updated Dec 13th, 2011 - about 14 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 1669755575 NPPES
Indiana Other 000000176992 ANTHEM BLUE CROSS AND BLUE SHIELD
Indiana Other JARTL ANTHEM BLUE CROSS AND BLUE SHIELD
Indiana Other IN2895 ANTHEM BLUE CROSS AND BLUE SHIELD
Indiana MEDICAID 200280210 ANTHEM BLUE CROSS AND BLUE SHIELD

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