Optimart, Inc. #11

LBN: Optimart, Inc.
Optimart, Inc. #11 is an health care organization with primary practice located at 1661 Se Us Highway 19 , Crystal River FL 34429-4830. 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) 563-1666, or through Mathis, Gregory Louis via phone (727) 914-8615.

Contact Information

Primary practice address
1661 Se Us Highway 19 Crystal River FL 34429-4830
Fax: (352) 563-1673
Website:
Authorized official contact:
Name: Mathis, Gregory Louis

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X OE372 Florida

Profile Details

NPI number 1811104672
LBN Legal business name Optimart, Inc.
DBA Doing business as Optimart, Inc. #11
Authorized official Mathis, Gregory Louis
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2007
Last updated Jun 26th, 2020 - about 2 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 1811104672 NPPES
Florida MEDICAID 630126600

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