Eye Associates Of Laporte

LBN: Michael L. Komasinski
Eye Associates Of Laporte is an health care organization with primary practice located at 106 Legacy Plz W , La Porte IN 46350-5298. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Michael L. Komasinski can be contacted via phone (219) 362-2685, or through Komasinski, Michael L via phone (219) 362-2685.

Contact Information

Primary practice address
106 Legacy Plz W La Porte IN 46350-5298
Phone: (219) 362-2685
Fax: (219) 362-5587
Website:
Map and Directions
Authorized official contact:
Name: Komasinski, Michael L Doctor of Optometry (OD)
Phone: (219) 362-2685

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18002319 Indiana

Profile Details

NPI number 1639395270
LBN Legal business name Michael L. Komasinski
DBA Doing business as Eye Associates Of Laporte
Authorized official Komasinski, Michael L Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2007
Last updated Nov 9th, 2012 - about 14 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 1639395270 NPPES
Indiana MEDICAID 200445030A

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