Vision Source Midwest City

LBN: Heritage Park Eye Care Center
Vision Source Midwest City is an health care organization with primary practice located at 6912 E Reno Ave Suite 101, Midwest City OK 73110-2162. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Heritage Park Eye Care Center can be contacted via phone (405) 732-2277, or through Smay, John via phone (405) 732-2277.

Contact Information

Primary practice address
6912 E Reno Ave Suite 101 Midwest City OK 73110-2162
Fax: (405) 737-4776
Website:
Authorized official contact:
Name: Smay, John Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 2206 Oklahoma

Profile Details

NPI number 1033235395
LBN Legal business name Heritage Park Eye Care Center
DBA Doing business as Vision Source Midwest City
Authorized official Smay, John Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2007
Last updated Aug 22nd, 2020 - about 5 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 1033235395 NPPES
Oklahoma Other CS4518 PALMETTO GROUP NUMBER

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