Fred H Dubick Od Inc

LBN: Fred H Dubick Od Inc
Fred H Dubick Od Inc is an health care organization with primary practice located at 3808 Riverside Dr #100, Burbank CA 91505. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Fred H Dubick Od Inc can be contacted via phone (818) 843-2214, or through Dubick, Fred Howard via phone (818) 843-2214.

Contact Information

Primary practice address
3808 Riverside Dr #100 Burbank CA 91505
Fax: (818) 843-4331
Website:
Authorized official contact:
Name: Dubick, Fred Howard Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT6901TPA California

Profile Details

NPI number 1730204504
LBN Legal business name Fred H Dubick Od Inc
DBA Doing business as
Authorized official Dubick, Fred Howard Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2007
Last updated Aug 22nd, 2020 - about 6 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 1730204504 NPPES
California MEDICAID GR0004692

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