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Contact Information

ALVERNON OPTICAL, INC.
7123 E TANQUE VERDE RD
TUCSON, AZ85715-3431
 Phone: 520-296-4157
 Fax: 520-296-4418
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for ALVERNON OPTICAL, INC.

NPI Number 1629195029
LBN Legal business name ALVERNON OPTICAL, INC.
Authorized official STACIA DECKER - (VP OF RETAIL)
Entity Organization
Organization subpart 1 No
Enumeration date 03/23/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
AZ License # 813
AZ Medicaid 413906
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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