Olde Tyme Optical

LBN: Olde Tyme Optical
Olde Tyme Optical is an health care organization with primary practice located at 100 N. 8Th St E. Suite 264, E. St. Louis IL 62201. The organization recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as the primary health care specialty. Olde Tyme Optical can be contacted via phone (618) 274-2020, or through Blissenbach, David Antone via phone (618) 274-2020.

Contact Information

Primary practice address
100 N. 8Th St E. Suite 264 E. St. Louis IL 62201
Phone: (618) 274-2020
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Blissenbach, David Antone
Phone: (618) 274-2020

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X

Profile Details

NPI number 1659759918
LBN Legal business name Olde Tyme Optical
DBA Doing business as
Authorized official Blissenbach, David Antone
Entity Organization
Organization subpart 1 Yes
Enumeration date May 7th, 2015
Last updated May 7th, 2015 - about 10 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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