Sumner Primary Eyecare, P.C.

LBN: Sumner Primary Eyecare, P.C.
Sumner Primary Eyecare, P.C. is an health care organization with primary practice located at 320 Washington Ave , Washington MO 63090-3218. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Sumner Primary Eyecare, P.C. can be contacted via phone (636) 239-2179, or through Sumner, Brian Patrick via phone (636) 239-2179.

Contact Information

Primary practice address
320 Washington Ave Washington MO 63090-3218
Fax: (636) 239-9592
Website:
Authorized official contact:
Name: Sumner, Brian Patrick Doctor of Optometry (OD)

Health care specialties

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

Profile Details

NPI number 1518085315
LBN Legal business name Sumner Primary Eyecare, P.C.
DBA Doing business as
Authorized official Sumner, Brian Patrick Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2007
Last updated Jun 8th, 2020 - about 6 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 1518085315 NPPES
Missouri Other 0422810001 DMERC - NORIDIAN ADMINIST
Missouri MEDICAID 507272805 DMERC - NORIDIAN ADMINIST

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