Stillwater Vision Clinic Inc

LBN: Stillwater Vision Clinic Inc
Stillwater Vision Clinic Inc is an health care organization with primary practice located at 2123 W 6Th Ave , Stillwater OK 74074-4136. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Stillwater Vision Clinic Inc can be contacted via phone (405) 372-3724, or through Gumm, Brian R via phone (405) 372-3724.

Contact Information

Primary practice address
2123 W 6Th Ave Stillwater OK 74074-4136
Phone: (405) 372-3724
Fax: (405) 743-1042
Website:
Map and Directions
Authorized official contact:
Name: Gumm, Brian R Doctor of Optometry (OD)
Phone: (405) 372-3724

Health care specialties

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

Profile Details

NPI number 1912124751
LBN Legal business name Stillwater Vision Clinic Inc
DBA Doing business as
Authorized official Gumm, Brian R Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2007
Last updated Mar 9th, 2017 - about 9 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 1912124751 NPPES
Oklahoma Other 443721363001 DAVID REYNOLDS,OD BCBS
Oklahoma MEDICAID 100768660B DAVID REYNOLDS,OD BCBS
Oklahoma Other 410033132 DAVID REYNOLDS,OD BCBS
Oklahoma Other 448646516001 DAVID REYNOLDS,OD BCBS
Oklahoma MEDICAID 100766180A DAVID REYNOLDS,OD BCBS
Oklahoma Other 410032462 DAVID REYNOLDS,OD BCBS
Oklahoma MEDICAID 200005020A DAVID REYNOLDS,OD BCBS
Oklahoma Other 0210790001 DAVID REYNOLDS,OD BCBS
Oklahoma MEDICAID 100766010A DAVID REYNOLDS,OD BCBS
Oklahoma Other 410019936 DAVID REYNOLDS,OD BCBS

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