Optical Shoppe Inc

LBN: Optical Shoppe Inc
Optical Shoppe Inc is an health care organization with primary practice located at 48 E Main St , Cortez CO 81321-3209. The organization recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as the primary health care specialty. Optical Shoppe Inc can be contacted via phone (970) 565-1580, or through Paumen, Kerry J via phone (970) 565-1580.

Contact Information

Primary practice address
48 E Main St Cortez CO 81321-3209
Phone: (970) 565-1580
Fax: (970) 565-8203
Website:
Map and Directions
Authorized official contact:
Name: Paumen, Kerry J ABOC
Phone: (970) 565-1580

Health care specialties

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

Profile Details

NPI number 1689023723
LBN Legal business name Optical Shoppe Inc
DBA Doing business as
Authorized official Paumen, Kerry J ABOC
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2016
Last updated Jun 9th, 2016 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689023723 NPPES
Colorado MEDICAID 08-003899

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