Larkspur Landing Optometry

LBN: Larkspur Landing Optometry
Larkspur Landing Optometry is an health care organization with primary practice located at 2005 Larkspur Landing Cir , Larkspur CA 94939-1802. The organization recently has only one registered license in Eye and Vision Services Providers / Vision Therapy, which is considered as the primary health care specialty. Larkspur Landing Optometry can be contacted via phone (415) 925-9091, or through Haack, Edward via phone (415) 925-9091.

Contact Information

Primary practice address
2005 Larkspur Landing Cir Larkspur CA 94939-1802
Fax: (415) 925-9092
Website:
Authorized official contact:
Name: Haack, Edward Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Vision Therapy 152WV0400X 10121T California

Profile Details

NPI number 1306837117
LBN Legal business name Larkspur Landing Optometry
DBA Doing business as
Authorized official Haack, Edward Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2005
Last updated Aug 22nd, 2020 - about 6 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 1306837117 NPPES
California MEDICAID SD0101210

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