Mid Town Optical

LBN: Mid Town Optical
Mid Town Optical is an health care organization with primary practice located at 330 W Gray St Ste 130 , Norman OK 73069-7111. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optician, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optician is the primary health care specialty. Mid Town Optical can be contacted via phone (405) 360-5505, or through Johnson, John via phone (405) 360-5505.

Contact Information

Primary practice address
330 W Gray St Ste 130 Norman OK 73069-7111
Phone: (405) 360-5505
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, John
Phone: (405) 360-5505

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X

Profile Details

NPI number 1033388962
LBN Legal business name Mid Town Optical
DBA Doing business as
Authorized official Johnson, John
Entity Organization
Organization subpart 1 No
Enumeration date Feb 25th, 2008
Last updated Feb 25th, 2008 - about 17 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 1033388962 NPPES
Oklahoma MEDICAID 200117730 A

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