Premier Eyecare Of Edmond Pllc

LBN: Premier Eyecare Of Edmond Pllc
Premier Eyecare Of Edmond Pllc is an health care organization with primary practice located at 2841 Nw 173Rd Street , Edmond OK 73003. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Premier Eyecare Of Edmond Pllc can be contacted via phone (405) 513-8150, or through Mayes, Amber via phone (405) 513-8150.

Contact Information

Primary practice address
2841 Nw 173Rd Street Edmond OK 73003
Phone: (405) 513-8150
Fax: (405) 513-8153
Website:
Map and Directions
Authorized official contact:
Name: Mayes, Amber Doctor of Optometry (OD)
Phone: (405) 513-8150

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2613 Oklahoma

Profile Details

NPI number 1295930410
LBN Legal business name Premier Eyecare Of Edmond Pllc
DBA Doing business as
Authorized official Mayes, Amber Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2007
Last updated Oct 2nd, 2012 - about 12 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 1295930410 NPPES
Oklahoma MEDICAID 200115110A

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