Eye Doc

LBN: Pham-Vang Optometry Llc
Eye Doc is an health care organization with primary practice located at 7074 Brooklyn Blvd , Brooklyn Center MN 55429-1370. The organization recently has 2 registered licenses in different health care specialties including Managed Care Organizations / Health Maintenance Organization, Suppliers / Durable Medical Equipment & Medical Supplies. Managed Care Organizations / Health Maintenance Organization is the primary health care specialty. Pham-Vang Optometry Llc can be contacted via phone (763) 639-0103, or through Pham-Vang, Sandy via phone (763) 316-4193.

Contact Information

Primary practice address
7074 Brooklyn Blvd Brooklyn Center MN 55429-1370
Phone: (763) 639-0103
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pham-Vang, Sandy Doctor of Optometry (OD)
Phone: (763) 316-4193

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X 3056 Minnesota
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 3056 Minnesota

Profile Details

NPI number 1467800664
LBN Legal business name Pham-Vang Optometry Llc
DBA Doing business as Eye Doc
Authorized official Pham-Vang, Sandy Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2016
Last updated May 27th, 2016 - 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 1467800664 NPPES
Minnesota MEDICAID 635140001

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