Professional Eyecare Management, Llc

LBN: Professional Eyecare Management, Llc
Professional Eyecare Management, Llc is an health care organization with primary practice located at 634 Cross Valley Cir , Evansville IN 47710-5238. 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 Management, Llc can be contacted via phone (812) 426-2256, or through Irvin, Jeffrey D. via phone (812) 426-2256.

Contact Information

Primary practice address
634 Cross Valley Cir Evansville IN 47710-5238
Phone: (812) 426-2256
Fax: (812) 429-0392
Website:
Map and Directions
Authorized official contact:
Name: Irvin, Jeffrey D. Doctor of Optometry (OD)
Phone: (812) 426-2256

Health care specialties

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

Profile Details

NPI number 1124170964
LBN Legal business name Professional Eyecare Management, Llc
DBA Doing business as
Authorized official Irvin, Jeffrey D. Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2007
Last updated Nov 23rd, 2009 - about 17 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 1124170964 NPPES
Indiana MEDICAID 200385820

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