Eagle Vision & Eye Clinic Pc

LBN: Optometric Associates Pc
Eagle Vision & Eye Clinic Pc is an health care organization with primary practice located at 2080 N Main St , Longmont CO 80501-1916. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Optometric Associates Pc can be contacted via phone (303) 651-2020, or through Blackwood, Clark via phone (303) 651-2020.

Contact Information

Primary practice address
2080 N Main St Longmont CO 80501-1916
Phone: (303) 651-2020
Fax: (303) 776-2460
Website:
Map and Directions
Authorized official contact:
Name: Blackwood, Clark Doctor of Optometry (OD)
Phone: (303) 651-2020

Health care specialties

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

Profile Details

NPI number 1730299116
LBN Legal business name Optometric Associates Pc
DBA Doing business as Eagle Vision & Eye Clinic Pc
Authorized official Blackwood, Clark Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated May 21st, 2012 - about 14 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 1730299116 NPPES
Colorado MEDICAID 04008959

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