Marvin Hertzel Pres

LBN: Personal Eyes Inc
Marvin Hertzel Pres is an health care organization with primary practice located at 1157 N Main St , Randolph MA 02368-2135. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Personal Eyes Inc can be contacted via phone (781) 963-2333, or through Hertzel, Marvin J via phone (781) 963-2333.

Contact Information

Primary practice address
1157 N Main St Randolph MA 02368-2135
Fax:
Website:
Authorized official contact:
Name: Hertzel, Marvin J Doctor of Optometry (OD)

Health care specialties

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

Profile Details

NPI number 1043385412
LBN Legal business name Personal Eyes Inc
DBA Doing business as Marvin Hertzel Pres
Authorized official Hertzel, Marvin J Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2006
Last updated Apr 5th, 2013 - about 13 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 1043385412 NPPES
Other 885521 TUFTS
Other W20255 TUFTS
MEDICAID 9720821 TUFTS

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