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Contact Information

CEDAR RUN EYE CENTER-BEULAH OPTICAL
3830 W FRONT ST
TRAVERSE CITY, MI49684-8153
 Phone: 231-929-3888
 Fax: 231-929-4365
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for CEDAR RUN EYE CENTER-BEULAH OPTICAL

NPI # 1942420096
LBN Legal business name CEDAR RUN EYE CENTER-BEULAH OPTICAL
Authorized official JENNIFER GROCHOWALSKI - (ADMINISTRATION)
Entity Organization
Organization subpart 1 No
Enumeration date 04/30/2007
Last updated 11/05/2007 - About 19 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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