Family Optometry Group

LBN: Family Optometry Group
Family Optometry Group is an health care organization with primary practice located at 4976 Verdugo Way , Camarillo CA 93012-8632. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Family Optometry Group can be contacted via phone (805) 482-4628, or through Freeland, Michael Brian via phone (805) 482-4628.

Contact Information

Primary practice address
4976 Verdugo Way Camarillo CA 93012-8632
Phone: (805) 482-4628
Fax: (805) 482-4620
Website:
Map and Directions
Authorized official contact:
Name: Freeland, Michael Brian Doctor of Optometry (OD)
Phone: (805) 482-4628

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 10886T California

Profile Details

NPI number 1356535538
LBN Legal business name Family Optometry Group
DBA Doing business as
Authorized official Freeland, Michael Brian Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2007
Last updated Aug 30th, 2007 - 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 1356535538 NPPES
California MEDICAID SD0108860

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