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LA GRANDE FAMILY EYE CARE

Eyewear Supplier

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

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Contact Information

LA GRANDE FAMILY EYE CARE
1502 N PINE ST
LA GRANDE, OR  97850
 Phone: 541-963-3788
 Fax: 541-963-3091
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

 332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for LA GRANDE FAMILY EYE CARE

NPI Number 1376773960
LBN Legal business name LA GRANDE FAMILY EYE CARE
Authorized official SAMUEL KIMBALL - (OPTOMETRIST)
Entity Organization
Organization subpart 1 No
Enumeration date 07/17/2009
Last updated 09/09/2010 - About 16 years ago
Identifiers
OR License # 3311AT
OR Medicaid 500609247
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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