Watertown Optical Company

LBN: Hanson- Moran Eye Clinic Pc
Watertown Optical Company is an health care organization with primary practice located at 705 14Th Ave Ne , Watertown SD 57201-6827. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Suppliers / Eyewear Supplier (Equipment, not the service). Suppliers / Eyewear Supplier (Equipment, not the service) is the primary health care specialty. Hanson- Moran Eye Clinic Pc can be contacted via phone (605) 886-7874, or through Moran, Michael J via phone (605) 886-7722.

Contact Information

Primary practice address
705 14Th Ave Ne Watertown SD 57201-6827
Fax: (605) 886-7723
Website:
Authorized official contact:
Name: Moran, Michael J Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 4579 South Dakota
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 4579 South Dakota

Profile Details

NPI number 1831375369
LBN Legal business name Hanson- Moran Eye Clinic Pc
DBA Doing business as Watertown Optical Company
Authorized official Moran, Michael J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 15th, 2008
Last updated Jun 17th, 2008 - about 18 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 1831375369 NPPES
South Dakota MEDICAID 9280242

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