Lisbon Vision Center, P.C.

LBN: Lisbon Vision Center, P.C.
Lisbon Vision Center, P.C. is an health care organization with primary practice located at 17 11Th Avenue West , Lisbon ND 58054-0916. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Lisbon Vision Center, P.C. can be contacted via phone (701) 683-5815, or through Mairs, Corey Ray via phone (701) 683-5815.

Contact Information

Primary practice address
17 11Th Avenue West Lisbon ND 58054-0916
Phone: (701) 683-5815
Fax: (701) 683-9966
Website:
Map and Directions
Authorized official contact:
Name: Mairs, Corey Ray Doctor of Optometry (OD)
Phone: (701) 683-5815

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 638 North Dakota

Profile Details

NPI number 1407896673
LBN Legal business name Lisbon Vision Center, P.C.
DBA Doing business as
Authorized official Mairs, Corey Ray Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 7th, 2006
Last updated Oct 8th, 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 1407896673 NPPES
North Dakota MEDICAID 60633
North Dakota Other 1407896673

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