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Contact Information

OPTIMAL VISION HEALTH, LLC
1489 E SUMNER ST
HARTFORD, WI53027-2606
 Phone: 262-673-7737
 Fax: 262-673-7702
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Contact Lens Fitter

156FC0801X
 

Optician

156FX1800X 96[5] Optician
Indicates primary specialty

NPI Profile & details for OPTIMAL VISION HEALTH, LLC

NPI Number 1215312343
LBN Legal business name OPTIMAL VISION HEALTH, LLC
Authorized official MICHELLE KWON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/30/2015
Last updated 07/30/2015 - About 11 years ago
Identifiers
WI License # 3372-35
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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