BAY OPTICAL LABORATORY CORP.; NPI #1407898026

Contact Information

BAY OPTICAL LABORATORY CORP.

3587 BROADWAY ST
NORTH BEND, OR 97459-1251

Phone: 541-756-2571
Fax: 541-756-3976
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for BAY OPTICAL LABORATORY CORP.

NPI # 1407898026

LBN Legal business name BAY OPTICAL LABORATORY CORP.

Authorized official LILY VAN ELSBERG - (ASSISTANT MANAGER/BOOKKEEPER)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/11/2006

Last updated 07/16/2008 - About 18 years ago

Identifiers

OR	Medicaid	012641
OR	Other	0009759000	PROVIDER NUMBER

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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BAY OPTICAL LABORATORY CORP.

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for BAY OPTICAL LABORATORY CORP.

Reviews for BAY OPTICAL LABORATORY CORP.