Beaumont Optical Shop

LBN: William Beaumont Hosptial
Beaumont Optical Shop is an health care organization with primary practice located at 3601 W 13 Mile Rd , Royal Oak MI 48073-6712. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. William Beaumont Hosptial can be contacted via phone (248) 423-2454, or through Odom, Lee Ann via phone (947) 522-3326.

Contact Information

Primary practice address
3601 W 13 Mile Rd Royal Oak MI 48073-6712
Phone: (248) 423-2454
Fax: (248) 423-2576
Website:
Map and Directions
Authorized official contact:
Name: Odom, Lee Ann
Phone: (947) 522-3326

Health care specialties

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

Profile Details

NPI number 1104031012
LBN Legal business name William Beaumont Hosptial
DBA Doing business as Beaumont Optical Shop
Authorized official Odom, Lee Ann
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2007
Last updated Oct 1st, 2021 - about 5 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 1104031012 NPPES
Michigan Other 900F374910 BCBSM

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