C & C Optical Shop Inc.

LBN: C & C Optical Shop Inc.
C & C Optical Shop Inc. is an health care organization with primary practice located at 1007 W Main St , Fremont MI 49412-1420. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. C & C Optical Shop Inc. can be contacted via phone (231) 924-1988, or through Walton, Cherry Marie via phone (231) 924-1988.

Contact Information

Primary practice address
1007 W Main St Fremont MI 49412-1420
Phone: (231) 924-1988
Fax: (231) 924-1622
Website:
Map and Directions
Authorized official contact:
Name: Walton, Cherry Marie
Phone: (231) 924-1988

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 1262670001 Michigan

Profile Details

NPI number 1992811632
LBN Legal business name C & C Optical Shop Inc.
DBA Doing business as
Authorized official Walton, Cherry Marie
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2006
Last updated Jan 10th, 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 1992811632 NPPES
Michigan MEDICAID 3455345

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