Family Vision Care Of Ponca City
LBN: Family Vision Care Of Ponca City
Family Vision Care Of Ponca City is an health care organization with primary practice located at 1619 N 5Th St , Ponca City OK 74601-2703. The organization recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Family Vision Care Of Ponca City can be contacted via phone (580) 762-5700, or through Campbell, Kelly C via phone (580) 762-5700.
Contact Information
Primary practice address
1619 N 5Th St
Ponca City OK 74601-2703
Phone: (580) 762-5700
Fax: (580) 765-3022
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OK2144 | Oklahoma |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | OK2144 | Oklahoma |
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X | OK2144 | Oklahoma |
Profile Details
| NPI number | 1902000904 |
|---|---|
| LBN Legal business name | Family Vision Care Of Ponca City |
| DBA Doing business as | |
| Authorized official | Campbell, Kelly C Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 13th, 2007 |
| Last updated | Dec 30th, 2016 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902000904 | NPPES |
| Oklahoma | MEDICAID | 100634170B |
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