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Contact Information

CORY EYECARE PTR
6509 CENTRAL AVE
PORTAGE, IN46368-3101
 Phone: 219-762-4801
 Fax: 219-764-9974
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for CORY EYECARE PTR

NPI # 1033379987
LBN Legal business name CORY EYECARE PTR
Authorized official KIM CORY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/13/2008
Last updated 01/14/2009 - 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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