Young Eye Clinic
LBN: Young Eye Clinic Llc
Young Eye Clinic is an health care organization with primary practice located at 12325 N Rockwell Ave , Oklahoma City OK 73142-2702. The organization recently has 4 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 / Sports Vision, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Young Eye Clinic Llc can be contacted via phone (405) 728-3393, or through Young, Gary Patrick via phone (405) 728-3393.
Contact Information
Primary practice address
12325 N Rockwell Ave
Oklahoma City OK 73142-2702
Phone: (405) 728-3393
Fax:
Website:
Authorized official contact:
Name: Young, Gary Patrick Doctor of Optometry (OD)
Phone: (405) 728-3393
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2117 | Oklahoma |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 2117 | Oklahoma |
| Eye and Vision Services Providers / Sports Vision | 152WS0006X | 2117 | Oklahoma |
| Eye and Vision Services Providers / Occupational Vision | 152WX0102X | 2117 | Oklahoma |
Profile Details
| NPI number | 1013422401 |
|---|---|
| LBN Legal business name | Young Eye Clinic Llc |
| DBA Doing business as | Young Eye Clinic |
| Authorized official | Young, Gary Patrick Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 6th, 2017 |
| Last updated | Jun 16th, 2018 - about 6 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 | 1013422401 | NPPES |
| Other | 918288 | EYEMED | |
| MEDICAID | 100760340A | EYEMED | |
| Other | 4057283393 | EYEMED |
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