Poage Eyecare, Pc
LBN: Poage Eyecare, Pc
Poage Eyecare, Pc is an health care organization with primary practice located at 1432 N Mustang Rd , Mustang OK 73064-7214. The organization recently has 5 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Poage Eyecare, Pc can be contacted via phone (405) 256-0126, or through Poage, Rebecca Lynn via phone (405) 256-0126.
Contact Information
Primary practice address
1432 N Mustang Rd
Mustang OK 73064-7214
Phone: (405) 256-0126
Fax: (405) 256-0563
Website:
Authorized official contact:
Name: Poage, Rebecca Lynn Doctor of Optometry (OD)
Phone: (405) 256-0126
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2430 | Oklahoma |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 2430 | Oklahoma |
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 2430 | Oklahoma |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 2430 | Oklahoma |
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X | 2430 | Oklahoma |
Profile Details
| NPI number | 1639233612 |
|---|---|
| LBN Legal business name | Poage Eyecare, Pc |
| DBA Doing business as | |
| Authorized official | Poage, Rebecca Lynn Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 21st, 2006 |
| Last updated | Jun 13th, 2024 - about 5 months 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 | 1639233612 | NPPES |
| Oklahoma | MEDICAID | 20006384830A |
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