South Haven Eyecare Associates

LBN: South Haven Eyecare Associates
South Haven Eyecare Associates is an health care organization with primary practice located at 1088 S Bailey Ave Suite B, South Haven MI 49090-6723. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. South Haven Eyecare Associates can be contacted via phone (269) 637-1442, or through Bacak, Alice M via phone (269) 637-1442.

Contact Information

Primary practice address
1088 S Bailey Ave Suite B South Haven MI 49090-6723
Phone: (269) 637-1442
Fax: (269) 637-3801
Website:
Map and Directions
Authorized official contact:
Name: Bacak, Alice M Doctor of Optometry (OD)
Phone: (269) 637-1442

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 490100 Michigan

Profile Details

NPI number 1083744379
LBN Legal business name South Haven Eyecare Associates
DBA Doing business as
Authorized official Bacak, Alice M Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2007
Last updated Nov 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 1083744379 NPPES
Michigan Other 0H07612 BLUE CROSS BLUE SHIELD

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