Massengale Eye Care, Pllc

LBN: Massengale Eye Care, Pllc
Massengale Eye Care, Pllc is an health care organization with primary practice located at 2828 N Broadway St , Moore OK 73160-4304. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Massengale Eye Care, Pllc can be contacted via phone (405) 631-2020, or through Massengale, Curt Leroy via phone (405) 631-2020.

Contact Information

Primary practice address
2828 N Broadway St Moore OK 73160-4304
Phone: (405) 631-2020
Fax: (405) 631-2114
Website:
Map and Directions
Authorized official contact:
Name: Massengale, Curt Leroy Doctor of Optometry (OD)
Phone: (405) 631-2020

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1089 Oklahoma

Profile Details

NPI number 1265726301
LBN Legal business name Massengale Eye Care, Pllc
DBA Doing business as
Authorized official Massengale, Curt Leroy Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 7th, 2011
Last updated Aug 13th, 2012 - 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 1265726301 NPPES
Oklahoma MEDICAID 100761620A

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