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Contact Information

C & C OPTICAL SHOP INC.
1007 W MAIN ST
FREMONT, MI49412-1420
 Phone: 231-924-1988
 Fax: 231-924-1622
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for C & C OPTICAL SHOP INC.

NPI # 1992811632
LBN Legal business name C & C OPTICAL SHOP INC.
Authorized official CHERRY WALTON - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/23/2006
Last updated 01/10/2008 - About 18 years ago
Identifiers
MI License # 1262670001
MI Medicaid 3455345
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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