Northwest Optometry Group, P.A.

LBN: Northwest Optometry Group, P.A.
Northwest Optometry Group, P.A. is an health care organization with primary practice located at 117 Sparta Ave , Sparta NJ 07871-1773. 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 Optometry Group, P.A. can be contacted via phone (973) 729-9199, or through Mullin, Bernard via phone (908) 832-9211.

Contact Information

Primary practice address
117 Sparta Ave Sparta NJ 07871-1773
Fax: (973) 729-9260
Website:
Authorized official contact:
Name: Mullin, Bernard Doctor of Optometry (OD)

Health care specialties

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

Profile Details

NPI number 1801853254
LBN Legal business name Northwest Optometry Group, P.A.
DBA Doing business as
Authorized official Mullin, Bernard Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2006
Last updated Sep 23rd, 2013 - about 13 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 1801853254 NPPES
New Jersey MEDICAID 331420102
New Jersey MEDICAID 331420106
New Jersey MEDICAID 331420104
New Jersey Other CD9470
New Jersey MEDICAID 331420105
New Jersey MEDICAID 331420103

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