Quality Optical Inc

LBN: Quality Optical Inc
Quality Optical Inc is an health care organization with primary practice located at 313 E Jefferson St , Plymouth IN 46563-1825. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Quality Optical Inc can be contacted via phone (574) 936-9136, or through Fenwick, David R via phone (574) 936-9137.

Contact Information

Primary practice address
313 E Jefferson St Plymouth IN 46563-1825
Phone: (574) 936-9136
Fax: (574) 936-9146
Website:
Map and Directions
Authorized official contact:
Name: Fenwick, David R Doctor of Optometry (OD)
Phone: (574) 936-9137

Health care specialties

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

Profile Details

NPI number 1801845995
LBN Legal business name Quality Optical Inc
DBA Doing business as
Authorized official Fenwick, David R Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2006
Last updated Sep 16th, 2010 - about 16 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 1801845995 NPPES
Indiana MEDICAID 100325370

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