Broadway Vision Center

LBN: Broadway Vision Center
Broadway Vision Center is an health care organization with primary practice located at 926 Broadway St , Quincy IL 62301-2730. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Broadway Vision Center can be contacted via phone (217) 222-6888, or through Leyendeckers, Mervi Hannele via phone (217) 222-6888.

Contact Information

Primary practice address
926 Broadway St Quincy IL 62301-2730
Phone: (217) 222-6888
Fax: (217) 222-6975
Website:
Map and Directions
Authorized official contact:
Name: Leyendeckers, Mervi Hannele Doctor of Optometry (OD)
Phone: (217) 222-6888

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 046008462 Illinois

Profile Details

NPI number 1629256730
LBN Legal business name Broadway Vision Center
DBA Doing business as
Authorized official Leyendeckers, Mervi Hannele Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2008
Last updated Jun 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 1629256730 NPPES
Illinois Other 1083711642 NPI

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