Gerald W. Graefe Odinc

LBN: Gerald W. Graefe Odinc
Gerald W. Graefe Odinc is an health care organization with primary practice located at 2310 S Garnett Rd , Tulsa OK 74129-5110. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Gerald W. Graefe Odinc can be contacted via phone (918) 664-1180, or through Graefe, Gerald W via phone (918) 664-1180.

Contact Information

Primary practice address
2310 S Garnett Rd Tulsa OK 74129-5110
Fax: (918) 627-0359
Website:
Authorized official contact:
Name: Graefe, Gerald W Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 837 Oklahoma

Profile Details

NPI number 1760501928
LBN Legal business name Gerald W. Graefe Odinc
DBA Doing business as
Authorized official Graefe, Gerald W Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2007
Last updated Dec 28th, 2011 - about 13 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 1760501928 NPPES
Oklahoma MEDICAID 100252590A

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