Thomas H Berenson O D P C

LBN: Thomas H Berenson O D P C
Thomas H Berenson O D P C is an health care organization with primary practice located at 3300 S Aspen Ave Ste D, Broken Arrow OK 74012-7501. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Thomas H Berenson O D P C can be contacted via phone (918) 451-2020, or through Berenson, Thomas H via phone (918) 451-2020.

Contact Information

Primary practice address
3300 S Aspen Ave Ste D Broken Arrow OK 74012-7501
Phone: (918) 451-2020
Fax: (918) 449-9086
Website:
Map and Directions
Authorized official contact:
Name: Berenson, Thomas H Doctor of Optometry (OD)
Phone: (918) 451-2020

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 795 Oklahoma

Profile Details

NPI number 1205999471
LBN Legal business name Thomas H Berenson O D P C
DBA Doing business as
Authorized official Berenson, Thomas H Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2006
Last updated Mar 7th, 2023 - about 3 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 1205999471 NPPES
Oklahoma MEDICAID 100765420A

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