Ofallon Optometric Clinic

LBN: Ofallon Optometric Clinic
Ofallon Optometric Clinic is an health care organization with primary practice located at 409 S Main St , O Fallon MO 63366-2532. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Ofallon Optometric Clinic can be contacted via phone (636) 272-3383, or through Shulman, Martin M via phone (636) 272-3383.

Contact Information

Primary practice address
409 S Main St O Fallon MO 63366-2532
Phone: (636) 272-3383
Fax: (636) 272-3381
Website:
Map and Directions
Authorized official contact:
Name: Shulman, Martin M Doctor of Optometry (OD)
Phone: (636) 272-3383

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X T02240 Missouri

Profile Details

NPI number 1457487837
LBN Legal business name Ofallon Optometric Clinic
DBA Doing business as
Authorized official Shulman, Martin M Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2007
Last updated Apr 23rd, 2014 - about 12 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 1457487837 NPPES
Missouri MEDICAID 310754213

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