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Contact Information

TRENDSETTERS OPTICAL LLC
324 N MASSEY BLVD
NIXA, MO65714-8307
 Phone: 417-725-0303
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optician

156FX1800X 96[5] Optician
Indicates primary specialty

NPI Profile & details for TRENDSETTERS OPTICAL LLC

NPI # 1780759472
LBN Legal business name TRENDSETTERS OPTICAL LLC
Authorized official JACK NEWMAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/21/2006
Last updated 06/16/2008 - About 18 years ago
Identifiers
MO Medicaid 310813951
MO Medicaid 329359111
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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