Eagle River Vision Clinic Inc
LBN: Eagle River Vision Clinic Inc
Eagle River Vision Clinic Inc is an health care organization with primary practice located at 16331 Heritage Pl Suite 104, Eagle River AK 99577-7714. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty.
Eagle River Vision Clinic Inc can be contacted via phone (907) 694-2511, or through Fleckenstein, Robert Jay via phone (907) 694-2511.
Contact Information
Primary practice address
16331 Heritage Pl Suite 104
Eagle River AK 99577-7714
Phone: (907) 694-2511
Fax: (907) 694-3900
Website:
Authorized official contact:
Name: Fleckenstein, Robert Jay Doctor of Optometry (OD)
Phone: (907) 694-2511
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 310247 | Alaska |
Profile Details
| NPI number | 1558301945 |
|---|---|
| LBN Legal business name | Eagle River Vision Clinic Inc |
| DBA Doing business as | |
| Authorized official | Fleckenstein, Robert Jay Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Feb 7th, 2013 - about 12 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 | 1558301945 | NPPES |
| Other | 30000001SWGYEAS | CMS EHR CERTIFICATAION ID |
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