Oak Tree Eye Clinic Inc Psc
LBN: Oak Tree Eye Clinic Inc Psc
Oak Tree Eye Clinic Inc Psc is an health care organization with primary practice located at 1601 West Everly Brothers Blvd , Central City KY 42330-0676. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Oak Tree Eye Clinic Inc Psc can be contacted via phone (270) 754-4515, or through Mayes, Freddie M via phone (270) 754-4515.
Contact Information
Primary practice address
1601 West Everly Brothers Blvd
Central City KY 42330-0676
Phone: (270) 754-4515
Fax: (270) 754-2547
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X |
Profile Details
| NPI number | 1821089640 |
|---|---|
| LBN Legal business name | Oak Tree Eye Clinic Inc Psc |
| DBA Doing business as | |
| Authorized official | Mayes, Freddie M |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 1st, 2005 |
| Last updated | Jun 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821089640 | NPPES |
| Kentucky | MEDICAID | 77903906 |
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