Powell Optometry A Professional Corporation
LBN: Powell Optometry A Professional Corporation
Powell Optometry A Professional Corporation is an health care organization with primary practice located at 2320 S Main St , Maryville MO 64468-3622. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
Powell Optometry A Professional Corporation can be contacted via phone (660) 582-4022, or through Powell, Jeffrey Haidon via phone (660) 582-4022.
Contact Information
Primary practice address
2320 S Main St
Maryville MO 64468-3622
Phone: (660) 582-4022
Fax: (660) 582-4038
Website:
Authorized official contact:
Name: Powell, Jeffrey Haidon Doctor of Optometry (OD)
Phone: (660) 582-4022
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TO2187 | Missouri |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2002015841 | Missouri |
Profile Details
| NPI number | 1447441050 |
|---|---|
| LBN Legal business name | Powell Optometry A Professional Corporation |
| DBA Doing business as | |
| Authorized official | Powell, Jeffrey Haidon Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 8th, 2007 |
| Last updated | Dec 5th, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447441050 | NPPES |
| Missouri | Other | 33776015 | BLUE CROSS BLUE SHIELD |
| Missouri | Other | DE0846 | BLUE CROSS BLUE SHIELD |
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