GORE EYE CLINIC
NPI 1053542142
Clinic/Center in Gore, OK
- Organization
- Clinic/Center
About GORE EYE CLINIC
This page provides the complete NPI Profile along with additional information for Gore Eye Clinic, a provider established in Gore, Oklahoma operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1053542142 assigned on August 2009. The practitioner's primary taxonomy code is 261Q00000X with license number 2470 (OK). The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's is doing business as Gore Eye Clinic. The authorized official of this NPI record is Dr. Joni Sue Russell Od (Optometrist)
- NPI
- 1053542142 Verify this NPI
- Provider Legal Name
- GORE EYE CLINIC PLLC
- Other Organization Name
- GORE EYE CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 202 N MAIN GORE, OK 74435
- Location Phone
- (918) 489-2512
- Mailing Address
- PO BOX 712 GORE, OK 74435
- Mailing Phone
- (918) 489-2512
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-06-2009
- Last Update Date
- 01-07-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- 2470
- License State
- OK
- Taxonomy Description
- 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).
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053542142, enumerated as an "organization" on August 06, 2009.
The provider is located at 202 N MAIN GORE, OK 74435 and the phone number is (918) 489-2512.
Clinic/Center with taxonomy code 261Q00000X.
