Oklahoma Optical

LBN: Chickasaw Nation Division Of Health
Oklahoma Optical is an health care organization with primary practice located at 1005 N Country Club Rd , Ada OK 74820-2847. The organization recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as the primary health care specialty. Chickasaw Nation Division Of Health can be contacted via phone (580) 332-2796, or through Boatright, Richard Shane via phone (580) 332-2796.

Contact Information

Primary practice address
1005 N Country Club Rd Ada OK 74820-2847
Phone: (580) 332-2796
Fax: (580) 421-4523
Website:
Map and Directions
Authorized official contact:
Name: Boatright, Richard Shane
Phone: (580) 332-2796

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X

Profile Details

NPI number 1376652180
LBN Legal business name Chickasaw Nation Division Of Health
DBA Doing business as Oklahoma Optical
Authorized official Boatright, Richard Shane
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2006
Last updated Dec 4th, 2015 - about 11 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 1376652180 NPPES
Oklahoma MEDICAID 100768150A

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