Painter, Jon E
Painter, Jon E is an sole proprietor health care provider with primary practice located at 619 N Broadway St , Moore OK 73160-4813. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Painter, Jon E can be contacted 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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2048 | Oklahoma |
Profile Details
| NPI number | 1679585566 |
|---|---|
| LBN Legal business name | Painter, Jon E |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Sep 1st, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679585566 | NPPES |
| Oklahoma | MEDICAID | 100762190A | |
| Oklahoma | Other | 441729242001 |
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