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Contact Information

BLANDFORD OPTICAL SHOP
5 SAINT VINCENT CIR
SUITE 101
LITTLE ROCK, AR72205-5412
 Phone: 501-664-6123
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for BLANDFORD OPTICAL SHOP

NPI # 1073522611
LBN Legal business name BLANDFORD OPTICAL SHOP
Authorized official DAVID ROZAS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/05/2006
Last updated 08/22/2020 - About 6 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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