David L Roberts O D P C

LBN: David L Roberts O D P C
David L Roberts O D P C is an health care organization with primary practice located at 2110 N Broadway St , Poteau OK 74953-2501. 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. David L Roberts O D P C can be contacted via phone (918) 647-3284, or through Roberts, David L via phone (918) 647-3284.

Contact Information

Primary practice address
2110 N Broadway St Poteau OK 74953-2501
Fax: (918) 647-3394
Website:
Authorized official contact:
Name: Roberts, David L Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 781 Oklahoma
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 781 Oklahoma

Profile Details

NPI number 1942499660
LBN Legal business name David L Roberts O D P C
DBA Doing business as
Authorized official Roberts, David L Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2007
Last updated Jul 29th, 2011 - about 14 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 1942499660 NPPES
Oklahoma MEDICAID 100761880A
Oklahoma Other 731508474953A001
Oklahoma Other 441409440001

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