Optical Headquarters

LBN: Optical Headquarters
Optical Headquarters is an health care organization with primary practice located at 1710 Fredericksburg Rd , San Antonio TX 78201-5033. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Optical Headquarters can be contacted via phone (210) 735-3507, or through Fussell, Lonnie Neal via phone (210) 735-3507.

Contact Information

Primary practice address
1710 Fredericksburg Rd San Antonio TX 78201-5033
Phone: (210) 735-3507
Fax: (210) 735-1811
Website:
Map and Directions
Authorized official contact:
Name: Fussell, Lonnie Neal
Phone: (210) 735-3507

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X

Profile Details

NPI number 1265633119
LBN Legal business name Optical Headquarters
DBA Doing business as
Authorized official Fussell, Lonnie Neal
Entity Organization
Organization subpart 1 No
Enumeration date May 29th, 2007
Last updated Jun 27th, 2008 - about 18 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 1265633119 NPPES
Texas MEDICAID TPI066132401

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