Mandalay Optical Labs, Llc

LBN: Mandalay Optical Labs, Llc
Mandalay Optical Labs, Llc is an health care organization with primary practice located at 905 Westminster St , Providence RI 02903-4020. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Mandalay Optical Labs, Llc can be contacted via phone (401) 331-7850, or through Colonna, Scott A via phone (401) 331-7850.

Contact Information

Primary practice address
905 Westminster St Providence RI 02903-4020
Phone: (401) 331-7850
Fax: (401) 331-7850
Website:
Map and Directions
Authorized official contact:
Name: Colonna, Scott A Doctor of Optometry (OD)
Phone: (401) 331-7850

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODTA00491 Rhode Island

Profile Details

NPI number 1396251740
LBN Legal business name Mandalay Optical Labs, Llc
DBA Doing business as
Authorized official Colonna, Scott A Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2017
Last updated Dec 21st, 2017 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1396251740 NPPES
Rhode Island MEDICAID 1538169784

Popular Providers