State Vision Clinic

LBN: Youngman Vision Inc
State Vision Clinic is an health care organization with primary practice located at 5411 Mill Plain Blvd Suite 28, Vancouver WA 98661. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Youngman Vision Inc can be contacted via phone (360) 693-2300, or through Youngman, Lori A via phone (360) 693-2300.

Contact Information

Primary practice address
5411 Mill Plain Blvd Suite 28 Vancouver WA 98661
Phone: (360) 693-2300
Fax: (360) 693-2303
Website:
Map and Directions
Authorized official contact:
Name: Youngman, Lori A Doctor of Optometry (OD)
Phone: (360) 693-2300

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OD00003133 Washington

Profile Details

NPI number 1720279649
LBN Legal business name Youngman Vision Inc
DBA Doing business as State Vision Clinic
Authorized official Youngman, Lori A Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 6th, 2007
Last updated Aug 6th, 2007 - about 19 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 1720279649 NPPES
Washington MEDICAID 2017689

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