Fredericktown Vision Center Inc

LBN: Fredericktown Vision Center Inc
Fredericktown Vision Center Inc is an health care organization with primary practice located at 152 S Main St , Fredericktown MO 63645-1452. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Fredericktown Vision Center Inc can be contacted via phone (573) 783-5959, or through Needham, Cynthia Ann via phone (573) 783-3573.

Contact Information

Primary practice address
152 S Main St Fredericktown MO 63645-1452
Phone: (573) 783-5959
Fax: (573) 783-5946
Website:
Map and Directions
Authorized official contact:
Name: Needham, Cynthia Ann
Phone: (573) 783-3573

Health care specialties

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

Profile Details

NPI number 1144368432
LBN Legal business name Fredericktown Vision Center Inc
DBA Doing business as
Authorized official Needham, Cynthia Ann
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2007
Last updated Dec 13th, 2011 - about 15 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 1144368432 NPPES
Missouri MEDICAID 323296400

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