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Contact Information

HOME TOWN OPTICAL LLC
480 WYLIE DR
NORMAL, IL61761-5405
 Phone: 309-938-4949
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
 

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for HOME TOWN OPTICAL LLC

NPI Number 1437535101
LBN Legal business name HOME TOWN OPTICAL LLC
Authorized official ERIN BOX - (INSURANCE SUPERVISOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/05/2015
Last updated 08/05/2015 - About 11 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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