OLDE TYME OPTICAL; NPI #1659759918

Contact Information

OLDE TYME OPTICAL

100 N. 8TH ST E.
SUITE 264
EAST SAINT LOUIS, IL 62201

Phone: 618-274-2020
Fax:
Website:

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

Indicates primary specialty

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NPI Profile & details for OLDE TYME OPTICAL

NPI #	`1659759918`
LBN Legal business name	OLDE TYME OPTICAL
Authorized official	DAVID BLISSENBACH - (OWNER)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	05/07/2015
Last updated	05/07/2015 - About 11 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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OLDE TYME OPTICAL

Contact Information

Specialty

Optician

NPI Profile & details for OLDE TYME OPTICAL

Reviews for OLDE TYME OPTICAL