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LEDBETTER EYECARE NPI 1235315987


NPI Information

NPI: 1235315987
Provider Name: LEDBETTER EYECARE
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
626 NW 7TH ST
MOORE, OK
ZIP 73160
Phone: (405) 794-3588
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LEDBETTER EYECARE is an eyewear supplier in Moore, OK. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. LEDBETTER EYECARE NPI is 1235315987. The provider is registered as an organization entity type.

The provider's business location address is:

626 NW 7TH ST
MOORE, OK
ZIP 73160-804
Phone: (405) 794-3588
Fax: (405) 794-0306

The provider's authorized official is Lance Ledbetter .
The authorized official title is Optometrist and has the following contact phone number (405) 794-3588.

The enumeration date for this NPI number is 1/11/2008 and was last updated on 1/11/2008.


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
1332H00000XEyewear Supplier1180OKLAHOMAYes

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
11320340001MEDICARE 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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