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Contact Information

JASPER GULOTTA
835 E 162ND ST
SOUTH HOLLAND, IL60473-2465
 Phone: 708-333-4444
 Fax: 708-333-4454
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for JASPER GULOTTA

NPI Number 1497937403
LBN Legal business name JASPER GULOTTA
Authorized official JASPER GULOTTA - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/30/2007
Last updated 08/28/2009 - About 17 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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