Ada Vision Source

LBN: Ada Vision Source
Ada Vision Source is an health care organization with primary practice located at 700 E Main St , Ada OK 74820-5614. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Ada Vision Source can be contacted via phone (580) 332-3936, or through Cunningham, James Kevin via phone (580) 332-3936.

Contact Information

Primary practice address
700 E Main St Ada OK 74820-5614
Phone: (580) 332-3936
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cunningham, James Kevin Doctor of Optometry (OD)
Phone: (580) 332-3936

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OK2031 Oklahoma

Profile Details

NPI number 1972702983
LBN Legal business name Ada Vision Source
DBA Doing business as
Authorized official Cunningham, James Kevin Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2007
Last updated Jun 21st, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972702983 NPPES
Oklahoma Other 440761954001 BLUE CROSS & BLUE SHIELD
Oklahoma MEDICAID 100761700A BLUE CROSS & BLUE SHIELD

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