VAN BUREN OPTICAL, LLC; NPI #1689102923

Contact Information

VAN BUREN OPTICAL, LLC

1130 E MISSOURI AVE STE 110
PHOENIX, AZ 85014-2712

Phone: 602-995-1166
Fax: 602-995-2390
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 VAN BUREN OPTICAL, LLC

NPI Number	`1689102923`
LBN Legal business name	VAN BUREN OPTICAL, LLC
Authorized official	JEREMY VANBUREN - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	05/31/2017
Last updated	05/31/2017 - About 9 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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VAN BUREN OPTICAL, LLC

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for VAN BUREN OPTICAL, LLC

Reviews for VAN BUREN OPTICAL, LLC