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Contact Information

BALOG BREMEN VISION CENTER P C
1425 W PLYMOUTH ST
BREMEN, IN46506-1951
 Phone: 574-546-3820
 Fax: 574-546-3810
 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 BALOG BREMEN VISION CENTER P C

NPI # 1922104660
LBN Legal business name BALOG BREMEN VISION CENTER P C
Authorized official CAROLYN BALOG - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/16/2006
Last updated 01/22/2008 - About 18 years ago
Identifiers
IN License # 18001983A
IN Other DA1502 RAILROAD MEDICARE
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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