Kenmore Eyecare Center
LBN: Kenmore Eyecare Center
Kenmore Eyecare Center is an health care organization with primary practice located at 513 N Telephone Rd , Moore OK 73160-4938. 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.
Kenmore Eyecare Center can be contacted via phone (405) 799-3030, or through Kenmore, Todd Alan via phone (405) 799-3030.
Contact Information
Primary practice address
513 N Telephone Rd
Moore OK 73160-4938
Phone: (405) 799-3030
Fax: (405) 799-3737
Website:
Authorized official contact:
Name: Kenmore, Todd Alan Doctor of Optometry (OD)
Phone: (405) 799-3030
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2366 | Oklahoma |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 2366 | Oklahoma |
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X | 2366 | Oklahoma |
Profile Details
| NPI number | 1356524011 |
|---|---|
| LBN Legal business name | Kenmore Eyecare Center |
| DBA Doing business as | |
| Authorized official | Kenmore, Todd Alan Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 17th, 2007 |
| Last updated | Feb 7th, 2008 - about 16 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 | 1356524011 | NPPES |
| Oklahoma | MEDICAID | 200019180B |
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