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UNIVERSITY EYECARE LLC NPI 1205144003


NPI Information

NPI: 1205144003
Provider Name: UNIVERSITY EYECARE, LLC

Doing Business As: SPECTACLE SHOP OUTLET

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
410 E MARKET ST STE 103
CHARLOTTESVILLE, VA
ZIP 22902
Phone: (434) 995-2240
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UNIVERSITY EYECARE, LLC is a durable medical equipment medical supplies in Charlottesville, VA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. UNIVERSITY EYECARE, LLC NPI is 1205144003. The provider is registered as an organization entity type.
The provider Is Doing Business As Spectacle Shop Outlet.

The provider's business location address is:

410 E MARKET ST STE 103
CHARLOTTESVILLE, VA
ZIP 22902-214
Phone: (434) 995-2240
Fax: (434) 995-2241

The provider's authorized official is Jon David Bright .
The authorized official title is President and has the following contact phone number (434) 995-2240.

The enumeration date for this NPI number is 9/15/2010 and was last updated on 6/25/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11205144003MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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