Broken Arrow Vision Clinic

LBN: Stacey Murrell, Od Pc Inc
Broken Arrow Vision Clinic is an health care organization with primary practice located at 1406 S Aspen Ave , Broken Arrow OK 74012-4807. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Stacey Murrell, Od Pc Inc can be contacted via phone (918) 258-9999, or through Murrell, Stacey D via phone (918) 258-9999.

Contact Information

Primary practice address
1406 S Aspen Ave Broken Arrow OK 74012-4807
Fax: (918) 258-2850
Website:
Authorized official contact:
Name: Murrell, Stacey D Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OK2345 Oklahoma

Profile Details

NPI number 1811186976
LBN Legal business name Stacey Murrell, Od Pc Inc
DBA Doing business as Broken Arrow Vision Clinic
Authorized official Murrell, Stacey D Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 15th, 2007
Last updated Jun 13th, 2008 - about 16 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 1811186976 NPPES
Oklahoma MEDICAID 100762280A

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