NPI Lookup

NPI Lookup from the NPI Registry — National Provider Identifier Database

ENCHANTED MOUNTAIN EYECARE
LBN ENCHANTED MOUNTAIN OPTOMETRY,PLLC

Eyewear Supplier

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.


Contact Information

ENCHANTED MOUNTAIN EYECARE
LBN ENCHANTED MOUNTAIN OPTOMETRY,PLLC
912 W STATE ST
OLEAN, NY14760-2242
 Phone: 716-373-0766
 Fax:
 Website:
 

Taxonomy / Specialty

Taxonomy Code

Eyewear Supplier

332H00000X
Indicates primary specialty

NPI Profile for ENCHANTED MOUNTAIN EYECARE

NPI Number 1013294685
LBN Legal business name ENCHANTED MOUNTAIN OPTOMETRY,PLLC
DBA Doing business as ENCHANTED MOUNTAIN EYECARE
Authorized official TRACY LUDDEN - (OPTOMETRIST)
Entity Organization
Organization subpart 1 No
Enumeration date 11/10/2011
Last updated 11/10/2011 - About 3 years ago
Identifiers
NY License # T005716
NY Medicaid 01608566
NY Medicare UPIN LU11809B
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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