Diamond Optical Care

LBN: Mac Optical
Diamond Optical Care is an health care organization with primary practice located at 1425 N Leroy St , Fenton MI 48430-2763. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Mac Optical can be contacted via phone (810) 629-2041, or through Hendricks, Michael G via phone (810) 629-2041.

Contact Information

Primary practice address
1425 N Leroy St Fenton MI 48430-2763
Phone: (810) 629-2041
Fax: (810) 629-9366
Website:
Map and Directions
Authorized official contact:
Name: Hendricks, Michael G
Phone: (810) 629-2041

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X MH003723 Michigan

Profile Details

NPI number 1295868602
LBN Legal business name Mac Optical
DBA Doing business as Diamond Optical Care
Authorized official Hendricks, Michael G
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2007
Last updated Feb 9th, 2011 - about 15 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 1295868602 NPPES
Michigan Other 0N11050 HAP
Michigan Other 900D41012 HAP
Michigan Other 0D41012 HAP
Michigan MEDICAID 3442900 HAP
Michigan MEDICAID 943442900 HAP

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