Jackson Optical Llc

LBN: Jackson Optical Llc
Jackson Optical Llc is an health care organization with primary practice located at 4265 Tamiami Trl Suite G, Port Charlotte FL 33980-2152. The organization recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as the primary health care specialty. Jackson Optical Llc can be contacted via phone (941) 625-6602, or through Mason, Stephen via phone (941) 625-6602.

Contact Information

Primary practice address
4265 Tamiami Trl Suite G Port Charlotte FL 33980-2152
Phone: (941) 625-6602
Fax: (941) 625-0021
Website:
Map and Directions
Authorized official contact:
Name: Mason, Stephen
Phone: (941) 625-6602

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X OE702 Florida

Profile Details

NPI number 1639361322
LBN Legal business name Jackson Optical Llc
DBA Doing business as
Authorized official Mason, Stephen
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2007
Last updated Oct 22nd, 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 1639361322 NPPES
Florida Other 5488960001 PALMETTO

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