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STILLWATER VISION CLINIC INC NPI 1912124751


NPI Information

NPI: 1912124751
Provider Name: STILLWATER VISION CLINIC INC
Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
2123 W 6TH AVE
STILLWATER, OK
ZIP 74074
Phone: (405) 372-3724
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STILLWATER VISION CLINIC INC is an optometrist in Stillwater, 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. STILLWATER VISION CLINIC INC NPI is 1912124751. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2123 W 6TH AVE
STILLWATER, OK
ZIP 74074-136
Phone: (405) 372-3724
Fax: (405) 743-1042

The provider's authorized official is Brian R Gumm .
The authorized official title is President and has the following contact phone number (405) 372-3724.

The enumeration date for this NPI number is 4/20/2007 and was last updated on 3/9/2017.


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
1152W00000XOptometristYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1443721363001OTHEROKLAHOMADAVID REYNOLDS,OD BCBS
2200005020AMEDICAIDOKLAHOMA
30210790001MEDICARE NSCOKLAHOMA
4410032462OTHEROKLAHOMADAVID REYNOLDS,OD RRMCARE
5U52627MEDICARE UPINOKLAHOMA
6100768660BMEDICAIDOKLAHOMA
7410019936OTHEROKLAHOMAJAMES STARK,O.D. RR MCARE
8448646516001OTHEROKLAHOMABRIAN GUMM,OD BCBS
9410033132OTHEROKLAHOMABRIAN GUMM,O.D. RR MCARE
10T40666MEDICARE UPINOKLAHOMA
11100766010AMEDICAIDOKLAHOMA
12=========001OTHEROKLAHOMAJAMES STARK,OD BCBSOK
130210790001OTHEROKLAHOMASTILL VISION CL DMERC
14T40479MEDICARE UPINOKLAHOMA
15100766180AMEDICAIDOKLAHOMA

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: 4/28/2024

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