Guthrie Eye Care Clinic, Inc.

LBN: Guthrie Eye Care Clinic, Inc.
Guthrie Eye Care Clinic, Inc. is an health care organization with primary practice located at 2114 W Noble Ave , Guthrie OK 73044-2116. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Guthrie Eye Care Clinic, Inc. can be contacted via phone (405) 260-2020, or through Cook, Douglas Todd via phone (405) 260-2020.

Contact Information

Primary practice address
2114 W Noble Ave Guthrie OK 73044-2116
Fax: (405) 282-8886
Website:
Authorized official contact:
Name: Cook, Douglas Todd Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1193 Oklahoma
Eye and Vision Services Providers / Optometrist 152W00000X 2032 Oklahoma

Profile Details

NPI number 1063415396
LBN Legal business name Guthrie Eye Care Clinic, Inc.
DBA Doing business as
Authorized official Cook, Douglas Todd Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2005
Last updated Jul 6th, 2010 - about 14 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 1063415396 NPPES
Other 043728001 DMERC
MEDICAID 100745070A DMERC

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