Optical Outlook, P.C.

LBN: Optical Outlook, P.C.
Optical Outlook, P.C. is an health care organization with primary practice located at 1100 31St Ave Sw Suite 2, Minot ND 58701-2007. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Optical Outlook, P.C. can be contacted via phone (701) 837-0022, or through Moen, Bruce Allen via phone (701) 837-0022.

Contact Information

Primary practice address
1100 31St Ave Sw Suite 2 Minot ND 58701-2007
Phone: (701) 837-0022
Fax: (701) 839-2005
Website:
Map and Directions
Authorized official contact:
Name: Moen, Bruce Allen Doctor of Optometry (OD)
Phone: (701) 837-0022

Health care specialties

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

Profile Details

NPI number 1568407153
LBN Legal business name Optical Outlook, P.C.
DBA Doing business as
Authorized official Moen, Bruce Allen Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2006
Last updated Oct 5th, 2007 - about 19 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 1568407153 NPPES
North Dakota Other 22882 BCBS OF ND
North Dakota MEDICAID 60582 BCBS OF ND

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