Cockrell Eyecare Center

LBN: Cockrell Eyecare Center
Cockrell Eyecare Center is an health care organization with primary practice located at 534 Illinois St , Pawnee OK 74058-2036. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Cockrell Eyecare Center can be contacted via phone (918) 762-2573, or through Cockrell, David via phone (405) 372-1715.

Contact Information

Primary practice address
534 Illinois St Pawnee OK 74058-2036
Fax: (918) 762-2574
Website:
Authorized official contact:
Name: Cockrell, David Doctor of Optometry (OD)

Health care specialties

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

Profile Details

NPI number 1225158314
LBN Legal business name Cockrell Eyecare Center
DBA Doing business as
Authorized official Cockrell, David Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2007
Last updated Mar 18th, 2010 - about 16 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 1225158314 NPPES
Oklahoma MEDICAID 100768620B
Oklahoma Other C05037

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