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Contact Information

SAINT JOSEPH VISION THERAPY LLC
2908 DIVISION ST
SAINT JOSEPH, MI49085-2437
 Phone: 269-983-3309
 Fax: 269-983-0846
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vision Therapy

152WV0400X 41 Optometry
 

Sports Vision

152WS0006X 41 Optometry
Indicates primary specialty

NPI Profile & details for SAINT JOSEPH VISION THERAPY LLC

NPI # 1669937926
LBN Legal business name SAINT JOSEPH VISION THERAPY LLC
Authorized official CHARLES FORTENBACHER - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 01/31/2019
Last updated 01/31/2019 - About 7 years ago
Identifiers
MI Other 900A165280 BLUE CROSS BLUE SHIELD OF MICHIGAN
MI Other 4901002693 OPTOMETRY LICENSE
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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