Organization Name: | BULANSEO OPTICAL,INC |
NPI Number: | 1306040944 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMI JENIEL PARMAR (AUTHORIZED OFFICIAL) |
Mailing Address: | 6035 Peachtree Rd Suite T10 Doraville |
State: | GA US |
Postal Code: | 303603230 |
Phone Number: | 7705594004 |
Fax Number: | 7705594228 |
NPI Enumeration Date: | 06/14/2007 |
NPI Last Update Date: | 03/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | OPT002546 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |