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Contact Information

MEDICAL VILLAGE OPTICAL SHOPPE INC.
31815 SOUTHFIELD RD
SUITE #12
BEVERLY HILLS, MI48025-5471
 Phone: 248-645-2220
 Fax: 877-547-8277
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optician

156FX1800X 96[5] Optician
 

Contact Lens

156FC0800X
 

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MEDICAL VILLAGE OPTICAL SHOPPE INC.

NPI Number 1033567490
LBN Legal business name MEDICAL VILLAGE OPTICAL SHOPPE INC.
Authorized official ROY KNOERR - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/26/2016
Last updated 05/26/2016 - About 10 years ago
Identifiers n/a
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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