37D1076508 CLIA NUMBER - HUBERTINA JM HAGEN OD, INC, PC DBA EYE TO EYE FAMILY VISION CARE

Laboratory Demographics

CLIA Number: 37D1076508

Facility Name: HUBERTINA JM HAGEN OD, INC, PC DBA EYE TO EYE FAMILY VISION CARE

Facility Address:
1029 E TAFT AVE
SAPULPA, OK
ZIP 74066
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Facility Phone Number: 918 227-3937

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1073644720

Taxonomy: 152W00000X - Optometrist
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.

CLIA Record

Field Name	Field Value
CLIA Number	37D1076508
LAB Type	Practitioner Other
Facility Name	HUBERTINA JM HAGEN OD, INC, PC DBA EYE TO EYE FAMILY VISION CARE
Street	1029 E TAFT AVE
City	SAPULPA
State	OK
ZIP	74066
Phone	918 227-3937
CertificateType	4
CertificateEffectiveDate	11/15/2023
CertificateExpirationDate	11/14/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024