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Contact Information

OPTICAL FASHIONS LTD
2104 STATE RD 16
LA CROSSE, WI54601
 Phone: 608-782-7127
 Fax: 608-782-7124
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for OPTICAL FASHIONS LTD

NPI # 1083718183
LBN Legal business name OPTICAL FASHIONS LTD
Authorized official HOLLY FISHER - (PRESIDENT/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/11/2006
Last updated 10/18/2012 - About 14 years ago
Identifiers
WI License # 1575
WI License # 1586
WI License # 2705
WI License # 3116
WI License # 3129
WI Medicaid 100020764
WI Medicaid 38509300
WI Medicaid 38512500
WI Medicaid 38602800
WI Medicaid 38645900
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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