Wells Vision And Laser Eye Center, Llc

LBN: Wells Vision And Laser Eye Center, Llc
Wells Vision And Laser Eye Center, Llc is an health care organization with primary practice located at 4012 Commons Dr W Ste 110 , Destin FL 32541-8424. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is the primary health care specialty. Wells Vision And Laser Eye Center, Llc can be contacted via phone (850) 424-6677, or through Wells, Kevin W via phone (850) 424-6677.

Contact Information

Primary practice address
4012 Commons Dr W Ste 110 Destin FL 32541-8424
Fax: (850) 424-7271
Website:
Authorized official contact:
Name: Wells, Kevin W Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2263 Oklahoma
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 2263 Oklahoma

Profile Details

NPI number 1356498232
LBN Legal business name Wells Vision And Laser Eye Center, Llc
DBA Doing business as
Authorized official Wells, Kevin W Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2007
Last updated May 16th, 2012 - about 14 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 1356498232 NPPES
Oklahoma Other 1315210001 DME SUPPLIER
Oklahoma MEDICAID 100763300A DME SUPPLIER

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