D E Wadsworth Jr Od Llc

LBN: D E Wadsworth Jr Od Llc
D E Wadsworth Jr Od Llc is an health care organization with primary practice located at 1936 N Perkins Rd , Stillwater OK 74075-2978. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. D E Wadsworth Jr Od Llc can be contacted via phone (405) 543-1846, or through Wadsworth, Darwin E via phone (405) 543-1846.

Contact Information

Primary practice address
1936 N Perkins Rd Stillwater OK 74075-2978
Phone: (405) 543-1846
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wadsworth, Darwin E Doctor of Optometry (OD)
Phone: (405) 543-1846

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1801485578
LBN Legal business name D E Wadsworth Jr Od Llc
DBA Doing business as
Authorized official Wadsworth, Darwin E Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 15th, 2021
Last updated Mar 17th, 2021 - about 4 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 1801485578 NPPES
Oklahoma MEDICAID 100765550B

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