Mattax Neu Prater Eye Center, Inc.
LBN: Mattax Neu Prater Eye Center, Inc.
Mattax Neu Prater Eye Center, Inc. is an health care organization with primary practice located at 430 N Jefferson Ave , Lebanon MO 65536-2742. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty.
Mattax Neu Prater Eye Center, Inc. can be contacted via phone (417) 886-3937, or through Mattax, James B. via phone (417) 886-3937.
Contact Information
Primary practice address
430 N Jefferson Ave
Lebanon MO 65536-2742
Phone: (417) 886-3937
Fax: (417) 886-1285
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X |
Profile Details
| NPI number | 1528163300 |
|---|---|
| LBN Legal business name | Mattax Neu Prater Eye Center, Inc. |
| DBA Doing business as | |
| Authorized official | Mattax, James B. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 14th, 2006 |
| Last updated | May 5th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528163300 | NPPES |
| Missouri | Other | CI7182 | RAILROAD MEDICARE PART B |
| Missouri | MEDICAID | 505886200 | RAILROAD MEDICARE PART B |
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