Dr Robert D Head And Dr Jennifer L Head Llc

LBN: Dr Robert D Head And Dr Jennifer L Head Llc
Dr Robert D Head And Dr Jennifer L Head Llc is an health care organization with primary practice located at 1302 Sw C Ave , Lawton OK 73501-4243. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Dr Robert D Head And Dr Jennifer L Head Llc can be contacted via phone (580) 355-1298, or through Brewster, Brenda via phone (580) 355-1298.

Contact Information

Primary practice address
1302 Sw C Ave Lawton OK 73501-4243
Phone: (580) 355-1298
Fax: (580) 581-7201
Website:
Map and Directions
Authorized official contact:
Name: Brewster, Brenda
Phone: (580) 355-1298

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1049 Oklahoma

Profile Details

NPI number 1043426901
LBN Legal business name Dr Robert D Head And Dr Jennifer L Head Llc
DBA Doing business as
Authorized official Brewster, Brenda
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2007
Last updated Mar 8th, 2012 - about 14 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 1043426901 NPPES
Oklahoma MEDICAID 100763770A

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