Michael Watters Inc

LBN: Michael Watters Inc
Michael Watters Inc is an health care organization with primary practice located at 2020 N Harrison , Shawnee OK 74804. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Michael Watters Inc can be contacted via phone (405) 273-7075, or through Young, Lindsey Helen via phone (405) 273-7075.

Contact Information

Primary practice address
2020 N Harrison Shawnee OK 74804
Fax: (405) 273-7405
Website:
Authorized official contact:
Name: Young, Lindsey Helen

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2408 Oklahoma

Profile Details

NPI number 1265636922
LBN Legal business name Michael Watters Inc
DBA Doing business as
Authorized official Young, Lindsey Helen
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2007
Last updated Jun 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 1265636922 NPPES
Oklahoma Other 900522241 MEDICARE GROUP NUMBER
Oklahoma MEDICAID 200046010A MEDICARE GROUP NUMBER

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