Carlson, Scott Michael
Carlson, Scott Michael is an sole proprietor health care provider with primary practice located at 5335 W Rogers Blvd Ste B, Skiatook OK 74070-5285. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Carlson, Scott Michael can be contacted via phone (198) 396-4440.Contact Information
Primary practice address
5335 W Rogers Blvd Ste B
Skiatook OK 74070-5285
Phone: (198) 396-4440
Fax: (918) 396-4449
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2211 | Oklahoma |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 2211 | Oklahoma |
Profile Details
| NPI number | 1235243544 |
|---|---|
| LBN Legal business name | Carlson, Scott Michael |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 17th, 2006 |
| Last updated | Mar 1st, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235243544 | NPPES |
| Oklahoma | MEDICAID | 100767350B |
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