Mcpg Dme Jei Optical Shop

LBN: University Of Arkansas For Medical Sciences
Mcpg Dme Jei Optical Shop is an health care organization with primary practice located at 4301 W Markham St # 783 , Little Rock AR 72205. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. University Of Arkansas For Medical Sciences can be contacted via phone (501) 686-8000, or through George, Amanda D via phone (501) 686-6633.

Contact Information

Primary practice address
4301 W Markham St # 783 Little Rock AR 72205
Phone: (501) 686-8000
Fax: (501) 526-6562
Website:
Map and Directions
Authorized official contact:
Name: George, Amanda D
Phone: (501) 686-6633

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1043373590
LBN Legal business name University Of Arkansas For Medical Sciences
DBA Doing business as Mcpg Dme Jei Optical Shop
Authorized official George, Amanda D
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 18th, 2006
Last updated May 17th, 2018 - about 7 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 1043373590 NPPES
Arkansas MEDICAID 122282716

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