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FAMILY VISION CARE OF PONCA CITY NPI 1902000904


NPI Information

NPI: 1902000904
Provider Name: FAMILY VISION CARE OF PONCA CITY
Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
1619 N 5TH ST
PONCA CITY, OK
ZIP 74601
Phone: (580) 762-5700
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FAMILY VISION CARE OF PONCA CITY is an optometrist in Ponca City, 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. FAMILY VISION CARE OF PONCA CITY NPI is 1902000904. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1619 N 5TH ST
PONCA CITY, OK
ZIP 74601-703
Phone: (580) 762-5700
Fax: (580) 765-3022

The provider's authorized official is Kelly C Campbell .
The authorized official title is Optometrist Owner and has the following contact phone number (580) 762-5700.

The enumeration date for this NPI number is 6/13/2007 and was last updated on 12/30/2016.


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
1152W00000XOptometristOK2144OKLAHOMAYes
2332B00000XDurable Medical Equipment & Medical SuppliesOK2144OKLAHOMANo
3332H00000XEyewear SupplierOK2144OKLAHOMANo

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
1100634170BMEDICAIDOKLAHOMA
2OKB5841MEDICARE PINOKLAHOMA
31020390001MEDICARE NSCOKLAHOMA

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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