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Contact Information

COLUMBIA FAMILY VISION CARE LLC
2020 COLUMBIA BLVD
SAINT HELENS, OR97051-1737
 Phone: 541-760-3448
 Fax: 503-397-3986
 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 COLUMBIA FAMILY VISION CARE LLC

NPI # 1518252139
LBN Legal business name COLUMBIA FAMILY VISION CARE LLC
Authorized official BROOKS RODMAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/11/2011
Last updated 10/14/2020 - About 6 years ago
Identifiers
OR License # 3367ATI
OR Medicaid 500636929
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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