Optimart, Inc. #12

LBN: Optimart, Inc.
Optimart, Inc. #12 is an health care organization with primary practice located at 2637 E Gulf To Lake Hwy , Inverness FL 34453-3216. The organization recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as the primary health care specialty. Optimart, Inc. can be contacted via phone (352) 637-5180, or through Mathis, Gregory Louis via phone (727) 914-8615.

Contact Information

Primary practice address
2637 E Gulf To Lake Hwy Inverness FL 34453-3216
Phone: (352) 637-5180
Fax: (352) 637-5181
Website:
Map and Directions
Authorized official contact:
Name: Mathis, Gregory Louis
Phone: (727) 914-8615

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X OE386 Florida

Profile Details

NPI number 1013124882
LBN Legal business name Optimart, Inc.
DBA Doing business as Optimart, Inc. #12
Authorized official Mathis, Gregory Louis
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2007
Last updated Jul 1st, 2020 - about 5 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 1013124882 NPPES
Florida MEDICAID 630126600

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