Samuelson Eyecare Llc

LBN: Samuelson Eyecare Llc
Samuelson Eyecare Llc is an health care organization with primary practice located at 428 West Main St , Mount Horeb WI 53572-2103. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Samuelson Eyecare Llc can be contacted via phone (608) 437-3377, or through Ta-Samuelson, Lauren via phone (608) 437-3377.

Contact Information

Primary practice address
428 West Main St Mount Horeb WI 53572-2103
Phone: (608) 437-3377
Fax: (608) 437-5063
Website:
Map and Directions
Authorized official contact:
Name: Ta-Samuelson, Lauren Doctor of Optometry (OD)
Phone: (608) 437-3377

Health care specialties

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

Profile Details

NPI number 1710072939
LBN Legal business name Samuelson Eyecare Llc
DBA Doing business as
Authorized official Ta-Samuelson, Lauren Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2006
Last updated Oct 1st, 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 1710072939 NPPES
Wisconsin MEDICAID 38714000

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