Northport Optical, Inc.

LBN: Northport Optical, Inc.
Northport Optical, Inc. is an health care organization with primary practice located at 3 Northport Plz , Hannibal MO 63401-2269. 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. Northport Optical, Inc. can be contacted via phone (573) 221-2646, or through Elsner, Carl W. via phone (573) 221-2646.

Contact Information

Primary practice address
3 Northport Plz Hannibal MO 63401-2269
Phone: (573) 221-2646
Fax: (573) 221-4479
Website:
Map and Directions
Authorized official contact:
Name: Elsner, Carl W.
Phone: (573) 221-2646

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X

Profile Details

NPI number 1194893123
LBN Legal business name Northport Optical, Inc.
DBA Doing business as
Authorized official Elsner, Carl W.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2006
Last updated Nov 17th, 2009 - about 17 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 1194893123 NPPES
Missouri MEDICAID 320082704

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