Heritage Optical Center, Inc.

LBN: Heritage Optical Center, Inc.
Heritage Optical Center, Inc. is an health care organization with primary practice located at 19010 Livernois Ave , Detroit MI 48221-2259. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Heritage Optical Center, Inc. can be contacted via phone (313) 863-9581, or through Barnes, George P via phone (313) 863-9585.

Contact Information

Primary practice address
19010 Livernois Ave Detroit MI 48221-2259
Phone: (313) 863-9581
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Barnes, George P
Phone: (313) 863-9585

Health care specialties

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

Profile Details

NPI number 1063687705
LBN Legal business name Heritage Optical Center, Inc.
DBA Doing business as
Authorized official Barnes, George P
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2008
Last updated Apr 24th, 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 1063687705 NPPES
Michigan MEDICAID 2831091
Michigan MEDICAID 4971556

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