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TRIAD EYE INSTITUTE PLLC NPI 1447382833


NPI Information

NPI: 1447382833
Provider Name: TRIAD EYE INSTITUTE PLLC

Former Legal Business Name: TRIAD EYE MEDICAL CLINIC AND CATARACT INSTITUTE PLLC

Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 37D0949696

Address:
3131 MILITARY BLVD
MUSKOGEE, OK
ZIP 74401
Phone: (918) 687-6600
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TRIAD EYE INSTITUTE PLLC is an ophthalmology in Muskogee, OK. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. TRIAD EYE INSTITUTE PLLC NPI is 1447382833. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Triad Eye Medical Clinic And Cataract Institute Pllc.

The provider's business location address is:

3131 MILITARY BLVD
MUSKOGEE, OK
ZIP 74401-290
Phone: (918) 687-6600
Fax: (918) 307-1983

The provider's authorized official is Marc L Abel .
The authorized official title is Owner and has the following contact phone number (918) 252-2020.

The CLIA number assigned to this NPI record is 37D0949696 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/12/2007 and was last updated on 7/13/2015.


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
1152W00000XOptometrist731288036OKLAHOMANo
2207W00000XOphthalmology731288036OKLAHOMAYes

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
1731288036MEDICARE PINOKLAHOMA
2490000830OTHEROKLAHOMARAILROAD MEDICARE
3490004258OTHEROKLAHOMARAILROAD MEDICARE
4CO5028OTHEROKLAHOMARAILROAD MEDICARE
5363690MEDICARE PINOKLAHOMA
6100738620DMEDICAIDOKLAHOMA
7600522007MEDICARE PIN
8TRIADEYEMEDICARE PINOKLAHOMA

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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