Carthage Vision Clinic Llc
LBN: Carthage Vision Clinic Llc
Carthage Vision Clinic Llc is an health care organization with primary practice located at 2020 S Garrison Ave , Carthage MO 64836-3687. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
Carthage Vision Clinic Llc can be contacted via phone (417) 359-0600, or through Goetzinger, Gregory Joseph via phone (417) 359-0600.
Contact Information
Primary practice address
2020 S Garrison Ave
Carthage MO 64836-3687
Phone: (417) 359-0600
Fax: (417) 359-0601
Website:
Authorized official contact:
Name: Goetzinger, Gregory Joseph Doctor of Optometry (OD)
Phone: (417) 359-0600
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | T03101 | Missouri |
Profile Details
| NPI number | 1487047536 |
|---|---|
| LBN Legal business name | Carthage Vision Clinic Llc |
| DBA Doing business as | |
| Authorized official | Goetzinger, Gregory Joseph Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 13th, 2015 |
| Last updated | Apr 5th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487047536 | NPPES |
| Missouri | Other | 7473660001 | DMERC NORIDIAN PTAN |
| Missouri | Other | MA5504 | DMERC NORIDIAN PTAN |
| Missouri | Other | DV9359 | DMERC NORIDIAN PTAN |
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