Third Street Optical

LBN: J And D Optical Inc.
Third Street Optical is an health care organization with primary practice located at 212 3Rd St Nw , Bemidji MN 56601-3112. The organization recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as the primary health care specialty. J And D Optical Inc. can be contacted via phone (218) 751-8313, or through Smith, David R via phone (218) 751-8313.

Contact Information

Primary practice address
212 3Rd St Nw Bemidji MN 56601-3112
Fax: (218) 444-3385
Website:
Authorized official contact:
Name: Smith, David R

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X

Profile Details

NPI number 1801825476
LBN Legal business name J And D Optical Inc.
DBA Doing business as Third Street Optical
Authorized official Smith, David R
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2006
Last updated May 15th, 2008 - about 17 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 1801825476 NPPES
Minnesota Other 81410DU BLUE CROSS
Minnesota MEDICAID 926563500 BLUE CROSS

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