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Contact Information

MAIN STREET PROS LLC
24 W MAIN ST
AMERICAN FORK, UT84003-2318
 Phone: 801-756-7996
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MAIN STREET PROS LLC

NPI Number 1316740889
LBN Legal business name MAIN STREET PROS LLC
Authorized official JOSEPH SMITH - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/31/2025
Last updated 03/31/2025 - More than a year 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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