Anna Faye Stanley Od Pc

LBN: Anna Faye Stanley Od Pc
Anna Faye Stanley Od Pc is an health care organization with primary practice located at 120 Sam Walton Dr Vision Center, Russellville KY 42276-9311. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Anna Faye Stanley Od Pc can be contacted via phone (270) 726-8283, or through Stanley, Anna Faye via phone (270) 726-8283.

Contact Information

Primary practice address
120 Sam Walton Dr Vision Center Russellville KY 42276-9311
Fax:
Website:
Authorized official contact:
Name: Stanley, Anna Faye Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1476DT Kentucky

Profile Details

NPI number 1114118585
LBN Legal business name Anna Faye Stanley Od Pc
DBA Doing business as
Authorized official Stanley, Anna Faye Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2007
Last updated Oct 2nd, 2014 - about 12 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 1114118585 NPPES
Kentucky MEDICAID 77340438
Kentucky Other DF8467

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