Alternative Vision Services

LBN: Alternative Vision Services
Alternative Vision Services is an health care organization with primary practice located at 1612 Commonwealth Dr #4, Fort Atkinson WI 53538-3147. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Alternative Vision Services can be contacted via phone (920) 397-7094, or through Cook, Mark F via phone (920) 390-9038.

Contact Information

Primary practice address
1612 Commonwealth Dr #4 Fort Atkinson WI 53538-3147
Phone: (920) 397-7094
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cook, Mark F Doctor of Optometry (OD)
Phone: (920) 390-9038

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2358-035 Wisconsin

Profile Details

NPI number 1306096417
LBN Legal business name Alternative Vision Services
DBA Doing business as
Authorized official Cook, Mark F Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2008
Last updated Sep 25th, 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 1306096417 NPPES
Wisconsin MEDICAID 38724000

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