Dr King Optometrist Pllc

LBN: Dr King Optometrist Pllc
Dr King Optometrist Pllc is an health care organization with primary practice located at 3505 W Kenosha St , Broken Arrow OK 74012-8948. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Dr King Optometrist Pllc can be contacted via phone (918) 872-6161, or through King, Harry R. via phone (918) 872-6161.

Contact Information

Primary practice address
3505 W Kenosha St Broken Arrow OK 74012-8948
Phone: (918) 872-6161
Fax: (918) 872-6164
Website:
Map and Directions
Authorized official contact:
Name: King, Harry R. Doctor of Optometry (OD)
Phone: (918) 872-6161

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2339 Oklahoma
Eye and Vision Services Providers / Optometrist 152W00000X 2650 Oklahoma

Profile Details

NPI number 1649667775
LBN Legal business name Dr King Optometrist Pllc
DBA Doing business as
Authorized official King, Harry R. Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 15th, 2015
Last updated Apr 15th, 2015 - about 9 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 1649667775 NPPES
Oklahoma MEDICAID 200124070A

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