Eyecare Specialties
LBN: Northwest Eyecare Center, Llc
Eyecare Specialties is an health care organization with primary practice located at 1111 W Victory Way Suite 110, Craig CO 81625-2950. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
Northwest Eyecare Center, Llc can be contacted via phone (970) 824-3488, or through Danner, Ronald J. via phone (970) 824-3488.
Contact Information
Primary practice address
1111 W Victory Way Suite 110
Craig CO 81625-2950
Phone: (970) 824-3488
Fax: (970) 824-8132
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1589 | Colorado |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 848 | Colorado |
Profile Details
| NPI number | 1275523938 |
|---|---|
| LBN Legal business name | Northwest Eyecare Center, Llc |
| DBA Doing business as | Eyecare Specialties |
| Authorized official | Danner, Ronald J. Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 25th, 2005 |
| Last updated | Sep 5th, 2008 - about 15 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 | 1275523938 | NPPES |
| Colorado | MEDICAID | 04018867 | |
| Colorado | Other | 1471066 |
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