Jon E. Painter O.D.,P.C

LBN: Jon E. Painter O.D.,P.C
Jon E. Painter O.D.,P.C is an health care organization with primary practice located at 619 N Broadway St , Moore OK 73160-4813. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Jon E. Painter O.D.,P.C can be contacted via phone (405) 799-7706, or through Painter, Jon E via phone (405) 799-7706.

Contact Information

Primary practice address
619 N Broadway St Moore OK 73160-4813
Phone: (405) 799-7706
Fax: (405) 799-7715
Website:
Map and Directions
Authorized official contact:
Name: Painter, Jon E Doctor of Optometry (OD)
Phone: (405) 799-7706

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2048 Oklahoma

Profile Details

NPI number 1770709941
LBN Legal business name Jon E. Painter O.D.,P.C
DBA Doing business as
Authorized official Painter, Jon E Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2007
Last updated Sep 1st, 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 1770709941 NPPES
Oklahoma Other 0526790001 PROVIDER ID
Oklahoma MEDICAID 100762190A PROVIDER ID

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