Envision Medical & Surgical Eye Care Pc

LBN: Envision Medical & Surgical Eye Care Pc
Envision Medical & Surgical Eye Care Pc is an health care organization with primary practice located at 4926 W Kenosha St , Broken Arrow OK 74012-8517. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Envision Medical & Surgical Eye Care Pc can be contacted via phone (918) 605-7456, or through Renfrow, Miranda K via phone (918) 605-7456.

Contact Information

Primary practice address
4926 W Kenosha St Broken Arrow OK 74012-8517
Phone: (918) 605-7456
Fax: (918) 893-1724
Website:
Map and Directions
Authorized official contact:
Name: Renfrow, Miranda K Doctor of Osteopathy (DO)
Phone: (918) 605-7456

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 4949 Oklahoma

Profile Details

NPI number 1013256486
LBN Legal business name Envision Medical & Surgical Eye Care Pc
DBA Doing business as
Authorized official Renfrow, Miranda K Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 5th, 2013
Last updated May 24th, 2016 - about 8 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 1013256486 NPPES
Oklahoma Other OKA102502 MEDICARE PTAN

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