Fairhaven Vision Clinic Pllc

LBN: Fairhaven Vision Clinic Pllc
Fairhaven Vision Clinic Pllc is an health care organization with primary practice located at 1207 Old Fairhaven Pkwy , Bellingham WA 98225-7411. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Fairhaven Vision Clinic Pllc can be contacted via phone (360) 733-1190, or through Jacobsen, Nancy Irene via phone (360) 733-1190.

Contact Information

Primary practice address
1207 Old Fairhaven Pkwy Bellingham WA 98225-7411
Fax: (360) 734-1306
Website:
Authorized official contact:
Name: Jacobsen, Nancy Irene CPO

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OD00000910 Washington

Profile Details

NPI number 1356413439
LBN Legal business name Fairhaven Vision Clinic Pllc
DBA Doing business as
Authorized official Jacobsen, Nancy Irene CPO
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2006
Last updated Sep 14th, 2009 - about 17 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 1356413439 NPPES
Washington Other 616790001 GROUP HEALTH

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