Kendall Optometry

LBN: Elite Eyecare Medical Group A Medical Corporation
Kendall Optometry is an health care organization with primary practice located at 425 W Central Ave Ste 102 , Lompoc CA 93436. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is the primary health care specialty. Elite Eyecare Medical Group A Medical Corporation can be contacted via phone (805) 736-2020, or through Bylsma, Stephen via phone (805) 925-2637.

Contact Information

Primary practice address
425 W Central Ave Ste 102 Lompoc CA 93436
Fax: (805) 737-1733
Website:
Authorized official contact:
Name: Bylsma, Stephen Doctor of Medicine (MD)

Health care specialties

Profile Details

NPI number 1437117231
LBN Legal business name Elite Eyecare Medical Group A Medical Corporation
DBA Doing business as Kendall Optometry
Authorized official Bylsma, Stephen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2006
Last updated Oct 10th, 2018 - about 3 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 1437117231 NPPES
California MEDICAID GR0086920
California Other ZZZ61060Z
California MEDICAID GSD004611

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