Personett Family Eyecare, Llc

LBN: Personett Family Eyecare, Llc
Personett Family Eyecare, Llc is an health care organization with primary practice located at 1867 Airport Way Suite 150-A, Fairbanks AK 99701-4054. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Personett Family Eyecare, Llc can be contacted via phone (907) 452-2131, or through Personett, Chad via phone (907) 452-2131.

Contact Information

Primary practice address
1867 Airport Way Suite 150-A Fairbanks AK 99701-4054
Fax: (907) 452-2131
Website:
Authorized official contact:
Name: Personett, Chad Doctor of Optometry (OD)

Health care specialties

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

Profile Details

NPI number 1154576213
LBN Legal business name Personett Family Eyecare, Llc
DBA Doing business as
Authorized official Personett, Chad Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2008
Last updated Sep 22nd, 2016 - about 10 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 1154576213 NPPES
Alaska Other K162115 MEDICARE PTAN
Alaska MEDICAID VG0005 MEDICARE PTAN

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