Park Place Optical, Ltd

LBN: Park Place Optical, Ltd
Park Place Optical, Ltd is an health care organization with primary practice located at 21 Park Pl , Appleton WI 54914-8872. The organization recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as the primary health care specialty. Park Place Optical, Ltd can be contacted via phone (920) 739-8235, or through Vrabec, Michael P via phone (920) 739-8235.

Contact Information

Primary practice address
21 Park Pl Appleton WI 54914-8872
Phone: (920) 739-8235
Fax: (920) 749-8095
Website:
Map and Directions
Authorized official contact:
Name: Vrabec, Michael P Doctor of Medicine (MD)
Phone: (920) 739-8235

Health care specialties

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

Profile Details

NPI number 1255465738
LBN Legal business name Park Place Optical, Ltd
DBA Doing business as
Authorized official Vrabec, Michael P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2007
Last updated Jan 12th, 2017 - about 9 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 1255465738 NPPES
Wisconsin MEDICAID 38424500

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