High Country Optical, Inc

LBN: High Country Optical, Inc
High Country Optical, Inc is an health care organization with primary practice located at 450 S Camino Del Rio Ste. 101, Durango CO 81301-6831. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. High Country Optical, Inc can be contacted via phone (970) 247-3613, or through Miller, Mark Allen via phone (970) 247-3613.

Contact Information

Primary practice address
450 S Camino Del Rio Ste. 101 Durango CO 81301-6831
Phone: (970) 247-3613
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Miller, Mark Allen Doctor of Optometry (OD)
Phone: (970) 247-3613

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT1837 Colorado

Profile Details

NPI number 1477602621
LBN Legal business name High Country Optical, Inc
DBA Doing business as
Authorized official Miller, Mark Allen Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2007
Last updated Sep 17th, 2007 - about 19 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 1477602621 NPPES
Colorado MEDICAID 04009098

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