Golden Gate Optical

LBN: Crystal Vision Optical Inc.
Golden Gate Optical is an health care organization with primary practice located at 2943 E Big Beaver Rd , Troy MI 48083-2467. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Crystal Vision Optical Inc. can be contacted via phone (248) 689-0213, or through Sitto, Dina J. via phone (248) 689-0213.

Contact Information

Primary practice address
2943 E Big Beaver Rd Troy MI 48083-2467
Phone: (248) 689-0213
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sitto, Dina J. ABOC, COT.
Phone: (248) 689-0213

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4901002152 Michigan
Eye and Vision Services Providers / Optometrist 152W00000X 4901002898 Michigan

Profile Details

NPI number 1902983778
LBN Legal business name Crystal Vision Optical Inc.
DBA Doing business as Golden Gate Optical
Authorized official Sitto, Dina J. ABOC, COT.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated Aug 9th, 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 1902983778 NPPES
Michigan MEDICAID 4855083

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