Granite City Vision, Inc.
LBN: Granite City Vision, Inc.
Granite City Vision, Inc. is an health care organization with primary practice located at 4182 Nameoki Rd. , Granite City IL 62040-2330. The organization recently has 5 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Contact Lens Fitter, Eye and Vision Services Providers / Optician, Managed Care Organizations / Preferred Provider Organization, Managed Care Organizations / Point of Service. Managed Care Organizations / Preferred Provider Organization is the primary health care specialty.
Granite City Vision, Inc. can be contacted via phone (618) 876-2438, or through Wright, Byron W. via phone (618) 339-8951.
Contact Information
Primary practice address
4182 Nameoki Rd.
Granite City IL 62040-2330
Phone: (618) 876-2438
Fax: (618) 876-2440
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Eye and Vision Services Providers / Contact Lens Fitter | 156FC0801X | ||
| Eye and Vision Services Providers / Optician | 156FX1800X | ||
| Managed Care Organizations / Preferred Provider Organization | 305R00000X | ||
| Managed Care Organizations / Point of Service | 305S00000X |
Profile Details
| NPI number | 1174756902 |
|---|---|
| LBN Legal business name | Granite City Vision, Inc. |
| DBA Doing business as | |
| Authorized official | Wright, Byron W. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 27th, 2009 |
| Last updated | Aug 26th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174756902 | NPPES |
| Illinois | MEDICAID | 08533 |
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