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Contact Information

IMLAY CITY OPTICAL INC
125 W 3RD ST
IMLAY CITY, MI48444-1029
 Phone: 810-724-6155
 Fax: 810-724-7708
 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 IMLAY CITY OPTICAL INC

NPI # 1902275944
LBN Legal business name IMLAY CITY OPTICAL INC
Authorized official ARTHUR WHALEY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/21/2015
Last updated 09/21/2015 - About 11 years ago
Identifiers
MI Medicaid 1700912433
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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