Diaz, Orlando A
Diaz, Orlando A is an sole proprietor health care provider with primary practice located at 660 Sw 19Th St Ste G , Moore OK 73160-5406. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Diaz, Orlando A can be contacted via phone (405) 794-0176.Contact Information
Primary practice address
660 Sw 19Th St Ste G
Moore OK 73160-5406
Phone: (405) 794-0176
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1153 | Oklahoma |
Profile Details
| NPI number | 1396790671 |
|---|---|
| LBN Legal business name | Diaz, Orlando A |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2006 |
| Last updated | Sep 20th, 2018 - about 6 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 | 1396790671 | NPPES |
| Oklahoma | MEDICAID | 100761630A |
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