Wahl Optical

LBN: Wahl Optical
Wahl Optical is an health care organization with primary practice located at 2201 W Broadway Suite 2, Council Bluffs IA 51501-3605. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Wahl Optical can be contacted via phone (712) 322-4554, or through Wahl, Robert Glen via phone (712) 322-4554.

Contact Information

Primary practice address
2201 W Broadway Suite 2 Council Bluffs IA 51501-3605
Phone: (712) 322-4554
Fax: (712) 322-2340
Website:
Map and Directions
Authorized official contact:
Name: Wahl, Robert Glen
Phone: (712) 322-4554

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1511 Iowa

Profile Details

NPI number 1992893838
LBN Legal business name Wahl Optical
DBA Doing business as
Authorized official Wahl, Robert Glen
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2006
Last updated Aug 22nd, 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 1992893838 NPPES
Iowa MEDICAID 0134080

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