Formica Optical Inc.

LBN: Formica Optical Inc.
Formica Optical Inc. is an health care organization with primary practice located at 1751 Lyter Dr , Johnstown PA 15905-1207. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Formica Optical Inc. can be contacted via phone (814) 255-2814, or through Formica, Charles A via phone (814) 255-2814.

Contact Information

Primary practice address
1751 Lyter Dr Johnstown PA 15905-1207
Phone: (814) 255-2814
Fax: (814) 255-5890
Website:
Map and Directions
Authorized official contact:
Name: Formica, Charles A
Phone: (814) 255-2814

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1972592277
LBN Legal business name Formica Optical Inc.
DBA Doing business as
Authorized official Formica, Charles A
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2005
Last updated Jan 14th, 2010 - about 16 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 1972592277 NPPES
Pennsylvania MEDICAID 0016286900002

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