Professional Eyecare Centers, Pllc

LBN: Professional Eyecare Centers, Pllc
Professional Eyecare Centers, Pllc is an health care organization with primary practice located at 210 10Th St Se , Jamestown ND 58401-5553. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Professional Eyecare Centers, Pllc can be contacted via phone (701) 252-5000, or through Rudolph, Staci Jo via phone (701) 252-5000.

Contact Information

Primary practice address
210 10Th St Se Jamestown ND 58401-5553
Phone: (701) 252-5000
Fax: (701) 952-5005
Website:
Map and Directions
Authorized official contact:
Name: Rudolph, Staci Jo
Phone: (701) 252-5000

Health care specialties

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

Profile Details

NPI number 1699866244
LBN Legal business name Professional Eyecare Centers, Pllc
DBA Doing business as
Authorized official Rudolph, Staci Jo
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2006
Last updated Jun 14th, 2021 - about 5 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 1699866244 NPPES
North Dakota MEDICAID 60490

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