<Unavail>

LBN: Goodwill Optical Inc
<Unavail> is an health care organization with primary practice located at 4340 Miller Rd Suite A, Flint MI 48507-1297. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Goodwill Optical Inc can be contacted via phone (810) 230-0045, or through Westra, Timothy D via phone (616) 846-0620.

Contact Information

Primary practice address
4340 Miller Rd Suite A Flint MI 48507-1297
Phone: (810) 230-0045
Fax: (810) 230-0045
Website:
Map and Directions
Authorized official contact:
Name: Westra, Timothy D
Phone: (616) 846-0620

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4901003723 Michigan

Profile Details

NPI number 1447542485
LBN Legal business name Goodwill Optical Inc
DBA Doing business as <Unavail>
Authorized official Westra, Timothy D
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2011
Last updated May 10th, 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 1447542485 NPPES
Michigan MEDICAID 1447319710

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