Optical Shop

LBN: Optical Shop
Optical Shop is an health care organization with primary practice located at 7901 Dallas St , Fort Smith AR 72903-4281. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Optical Shop can be contacted via phone (479) 782-8892, or through Knox, Robert via phone (479) 782-8892.

Contact Information

Primary practice address
7901 Dallas St Fort Smith AR 72903-4281
Phone: (479) 782-8892
Fax: (479) 782-8840
Website:
Map and Directions
Authorized official contact:
Name: Knox, Robert
Phone: (479) 782-8892

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X

Profile Details

NPI number 1992884829
LBN Legal business name Optical Shop
DBA Doing business as
Authorized official Knox, Robert
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 2nd, 2006
Last updated Apr 30th, 2018 - about 8 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 1992884829 NPPES
Arkansas MEDICAID 128041002
Arkansas MEDICAID 100768130B
Arkansas Other CQ2384

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