Bethany L Bremer Od Llc

LBN: Bethany L Bremer Od Llc
Bethany L Bremer Od Llc is an health care organization with primary practice located at 101 N. Congress Ave , Lake Park FL 33403. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Bethany L Bremer Od Llc can be contacted via phone (561) 881-8006, or through Bremer, Bethany L. via phone (561) 881-8006.

Contact Information

Primary practice address
101 N. Congress Ave Lake Park FL 33403
Phone: (561) 881-8006
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bremer, Bethany L.
Phone: (561) 881-8006

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2606 Florida

Profile Details

NPI number 1790907202
LBN Legal business name Bethany L Bremer Od Llc
DBA Doing business as
Authorized official Bremer, Bethany L.
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2007
Last updated Apr 25th, 2013 - about 13 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 1790907202 NPPES
Florida MEDICAID 621230100

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