Creston Vision Clinic Pc

LBN: Creston Vision Clinic Pc
Creston Vision Clinic Pc is an health care organization with primary practice located at 1610 W Townline St Ste 115 , Creston IA 50801-1064. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Creston Vision Clinic Pc can be contacted via phone (641) 782-7619, or through Mckim, Donald E via phone (641) 782-7619.

Contact Information

Primary practice address
1610 W Townline St Ste 115 Creston IA 50801-1064
Phone: (641) 782-7619
Fax: (641) 782-6549
Website:
Map and Directions
Authorized official contact:
Name: Mckim, Donald E Doctor of Optometry (OD)
Phone: (641) 782-7619

Health care specialties

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

Profile Details

NPI number 1982792339
LBN Legal business name Creston Vision Clinic Pc
DBA Doing business as
Authorized official Mckim, Donald E Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2006
Last updated Feb 21st, 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 1982792339 NPPES
Other DF5361 RAILROAD MEDICARE

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