Glendive Eyecare

LBN: Glendive Eyecare
Glendive Eyecare is an health care organization with primary practice located at 115 W Valentine St , Glendive MT 59330-1666. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Glendive Eyecare can be contacted via phone (406) 365-8231, or through Jacobsen, Gary D via phone (406) 365-8231.

Contact Information

Primary practice address
115 W Valentine St Glendive MT 59330-1666
Fax: (406) 365-7081
Website:
Authorized official contact:
Name: Jacobsen, Gary D Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 453 Montana

Profile Details

NPI number 1841461563
LBN Legal business name Glendive Eyecare
DBA Doing business as Glendive Eyecare
Authorized official Jacobsen, Gary D Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2008
Last updated Jul 15th, 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 1841461563 NPPES
Montana Other 0000026520 BLUE CROSS BLUE SHIELD
Montana Other 011003935 BLUE CROSS BLUE SHIELD
Montana MEDICAID 048-0350 BLUE CROSS BLUE SHIELD
Montana Other 410008748 BLUE CROSS BLUE SHIELD

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