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GORE EYE CLINIC PLLC NPI 1053542142


NPI Information

NPI: 1053542142
Provider Name: GORE EYE CLINIC PLLC

Doing Business As: GORE EYE CLINIC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
202 N MAIN
GORE, OK
ZIP 74435
Phone: (918) 489-2512
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GORE EYE CLINIC PLLC is a clinic center in Gore, OK. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). GORE EYE CLINIC PLLC NPI is 1053542142. The provider is registered as an organization entity type.
The provider Is Doing Business As Gore Eye Clinic.

The provider's business location address is:

202 N MAIN
GORE, OK
ZIP 74435
Phone: (918) 489-2512

The provider's authorized official is Joni Sue Russell .
The authorized official title is Optometrist and has the following contact phone number (918) 489-2512.

The enumeration date for this NPI number is 8/6/2009 and was last updated on 1/7/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/Center2470OKLAHOMAYes

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: 11/14/2023

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