Oklahoma City Vision Source in Oklahoma City - Optometrist
Oklahoma City Vision Source - NPI 1023238755
Oklahoma City Vision Source is a Optometrist in Oklahoma City, Oklahoma. Oklahoma City Vision Source practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Oklahoma City Vision Source is 1023238755. The last update date is 2009-11-19.
Oklahoma City Vision Source's current location address is 3011 Nw 63rd St, Oklahoma City, Oklahoma. You can contact this provider via phone number 4058402800 and fax number 4058408242. The mailing address for Oklahoma City Vision Source is 3011 Nw 63rd St, Oklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Oklahoma City Vision Source |
|---|---|
| Address | 3011 Nw 63rd St, Oklahoma City, Oklahoma |
| Phone Number | 4058402800 |
| Fax Number | 4058408242 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Forester D Scott |
| Credentials | O.D. |
| Telephone Number | 4058402800 |
NPI Number Detail
| NPI Number | 1023238755 |
|---|---|
| Provider Enumeration Date | 2007-04-26 |
| Last Updated Date | 2009-11-19 |
Provider Mailing Address Detail
| Address | 3011 Nw 63rd St |
|---|---|
| City | Oklahoma City |
| State | Oklahoma (OK) |
| Post Code | 731163629 |
| Phone Number | 4058402800 |
| Fax Number | 4058408242 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 2464 TRENT P |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100763860A | OK | -- | |
| 200062890A | OK | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Oklahoma City Vision Source by the Centers for Medicare & Medicaid Services?
The Oklahoma City Vision Source has been issued the NPI (National Provider Identifier) 1023238755, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Oklahoma City Vision Source is physically located?
The Oklahoma City Vision Source is situated at the following address: 3011 Nw 63Rd St, Oklahoma City, OK 731163629.
What is the Oklahoma City Vision Source's area of specialization and corresponding taxonomy classification?
The Oklahoma City Vision Source's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1023238755 to Oklahoma City Vision Source?
The Centers for Medicare & Medicaid Services originally issued the 1023238755 to Oklahoma City Vision Source on 2007-04-26.
As of what date were the details related to Oklahoma City Vision Source most recently updated or revised?
The information pertaining to Oklahoma City Vision Source, including its address, specialty, and other relevant details, was last updated or revised on 2009-11-19.
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