Michael L Peck

LBN: Michael L Peck
Michael L Peck is an health care organization with primary practice located at 517 W Maine Ave , Enid OK 73701-5542. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is the primary health care specialty. Michael L Peck can be contacted via phone (580) 242-2300, or through Peck, Michael L via phone (580) 242-2300.

Contact Information

Primary practice address
517 W Maine Ave Enid OK 73701-5542
Phone: (580) 242-2300
Fax: (580) 233-7370
Website:
Map and Directions
Authorized official contact:
Name: Peck, Michael L Doctor of Optometry (OD)
Phone: (580) 242-2300

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1058 Oklahoma
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 1058 Oklahoma

Profile Details

NPI number 1306034830
LBN Legal business name Michael L Peck
DBA Doing business as
Authorized official Peck, Michael L Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2007
Last updated Aug 26th, 2008 - about 18 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 1306034830 NPPES
Oklahoma Other 410001137 RAILROAD MEICARE
Oklahoma Other DA7479 RAILROAD MEICARE
Oklahoma Other 800522342 RAILROAD MEICARE
Oklahoma MEDICAID 100765010B RAILROAD MEICARE
Oklahoma Other 730794467004 RAILROAD MEICARE

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