Mountain Optical, Llc

LBN: Mountain Optical, Llc
Mountain Optical, Llc is an health care organization with primary practice located at 2145 Us Highway 25 E , Middlesboro KY 40965-1874. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optician, Suppliers / Eyewear Supplier (Equipment, not the service). Suppliers / Eyewear Supplier (Equipment, not the service) is the primary health care specialty. Mountain Optical, Llc can be contacted via phone (606) 248-6030, or through Keck, Katherine Sue via phone (606) 248-6030.

Contact Information

Primary practice address
2145 Us Highway 25 E Middlesboro KY 40965-1874
Phone: (606) 248-6030
Fax: (606) 248-0014
Website:
Map and Directions
Authorized official contact:
Name: Keck, Katherine Sue OPTICIAN
Phone: (606) 248-6030

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 0478 Kentucky

Profile Details

NPI number 1669661690
LBN Legal business name Mountain Optical, Llc
DBA Doing business as
Authorized official Keck, Katherine Sue OPTICIAN
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2007
Last updated Sep 2nd, 2015 - about 11 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 1669661690 NPPES
Kentucky Other 000000072724 BCBS
Kentucky MEDICAID 52904786 BCBS
Kentucky Other KY0478 BCBS

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