Mp Spellicy, O.D.

LBN: Michael P. Spellicy
Mp Spellicy, O.D. is an health care organization with primary practice located at 2730 Route 12B , Hamilton NY 13346. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Michael P. Spellicy can be contacted via phone (315) 824-3453, or through Spellicy, Michael P via phone (315) 824-3453.

Contact Information

Primary practice address
2730 Route 12B Hamilton NY 13346
Phone: (315) 824-3453
Fax: (315) 824-4301
Website:
Map and Directions
Authorized official contact:
Name: Spellicy, Michael P Doctor of Optometry (OD)
Phone: (315) 824-3453

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 3797-1 New York

Profile Details

NPI number 1205005931
LBN Legal business name Michael P. Spellicy
DBA Doing business as Mp Spellicy, O.D.
Authorized official Spellicy, Michael P Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2008
Last updated Jun 16th, 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 1205005931 NPPES
New York MEDICAID 00600977

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