Douglas B Pearson Od

LBN: Douglas B Pearson Od
Douglas B Pearson Od is an health care organization with primary practice located at 11 S Rowe St , Pryor OK 74361-4626. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Douglas B Pearson Od can be contacted via phone (918) 825-6144, or through Pearson, Douglas via phone (918) 825-6144.

Contact Information

Primary practice address
11 S Rowe St Pryor OK 74361-4626
Phone: (918) 825-6144
Fax: (918) 825-5374
Website:
Map and Directions
Authorized official contact:
Name: Pearson, Douglas
Phone: (918) 825-6144

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 1021 Oklahoma

Profile Details

NPI number 1609188655
LBN Legal business name Douglas B Pearson Od
DBA Doing business as
Authorized official Pearson, Douglas
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 7th, 2010
Last updated Jul 7th, 2010 - 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 1609188655 NPPES
Oklahoma MEDICAID 100761440A

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