OVERLAND OPTICAL, INC.; NPI #1457377848

Contact Information

OVERLAND OPTICAL, INC.

2533 WOODSON RD
SAINT LOUIS, MO 63114-5436

Phone: 314-423-3874
Fax: 888-423-0074
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Optician	156FX1800X	96[5]	Optician

Indicates primary specialty

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NPI Profile & details for OVERLAND OPTICAL, INC.

NPI # 1457377848

LBN Legal business name OVERLAND OPTICAL, INC.

Authorized official RUSSELL DENTSBIER - (OWNER/PRESIDENT - OPTICIAN)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/15/2006

Last updated 01/13/2011 - About 15 years ago

Identifiers

License #

036582

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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OVERLAND OPTICAL, INC.

Contact Information

Specialty

Optician

NPI Profile & details for OVERLAND OPTICAL, INC.

Reviews for OVERLAND OPTICAL, INC.