Broadway Vision Associates, Plc
LBN: Broadway Vision Associates, Plc
Broadway Vision Associates, Plc is an health care organization with primary practice located at 435 W Broadway St , Muskogee OK 74401-6614. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Broadway Vision Associates, Plc can be contacted via phone (918) 687-4459, or through Stewart, Candace Y. via phone (918) 687-4459.
Contact Information
Primary practice address
435 W Broadway St
Muskogee OK 74401-6614
Phone: (918) 687-4459
Fax: (918) 687-0238
Website:
Authorized official contact:
Name: Stewart, Candace Y. Doctor of Optometry (OD)
Phone: (918) 687-4459
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X |
Profile Details
| NPI number | 1154441848 |
|---|---|
| LBN Legal business name | Broadway Vision Associates, Plc |
| DBA Doing business as | |
| Authorized official | Stewart, Candace Y. Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 29th, 2007 |
| Last updated | Feb 18th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154441848 | NPPES |
| Oklahoma | MEDICAID | 100739020A |
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