Woodcrest Vision Center- Optometry

LBN: Woodcrest Vision Center- Optometry
Woodcrest Vision Center- Optometry is an health care organization with primary practice located at 17675 Van Buren Blvd Suite C, Riverside CA 92504. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Woodcrest Vision Center- Optometry can be contacted via phone (951) 780-0270, or through Shaw Mc Minn, Peter via phone (951) 780-0270.

Contact Information

Primary practice address
17675 Van Buren Blvd Suite C Riverside CA 92504
Phone: (951) 780-0270
Fax: (951) 780-4807
Website:
Map and Directions
Authorized official contact:
Name: Shaw Mc Minn, Peter Doctor of Optometry (OD)
Phone: (951) 780-0270

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT 6553T California

Profile Details

NPI number 1891901294
LBN Legal business name Woodcrest Vision Center- Optometry
DBA Doing business as
Authorized official Shaw Mc Minn, Peter Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2007
Last updated Jun 30th, 2008 - about 18 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 1891901294 NPPES
California MEDICAID ZZZ95800Z

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