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CANADIAN VALLEY VISION CENTER PC NPI 1639329071


NPI Information

NPI: 1639329071
Provider Name: CANADIAN VALLEY VISION CENTER, PC
Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
121 W MAIN ST
HOLDENVILLE, OK
ZIP 74848
Phone: (405) 379-3610
Get Directions

CANADIAN VALLEY VISION CENTER, PC is an optometrist in Holdenville, OK. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. CANADIAN VALLEY VISION CENTER, PC NPI is 1639329071. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

121 W MAIN ST
HOLDENVILLE, OK
ZIP 74848-229
Phone: (405) 379-3610
Fax: (405) 379-2019

The provider's authorized official is Martin D O'donnell .
The authorized official title is President and has the following contact phone number (405) 379-3610.

The enumeration date for this NPI number is 9/23/2008 and was last updated on 6/29/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152WC0802XOptometristCorneal and Contact Management2576OKLAHOMANo
2152WL0500XOptometristLow Vision Rehabilitation2576OKLAHOMANo
3152WP0200XOptometristPediatrics2576OKLAHOMANo
4152W00000XOptometrist2576OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16228450001MEDICARE NSCOKLAHOMA
2OKB5322MEDICARE PINOKLAHOMA
3DO8085MEDICARE PINOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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