PONCA CITY EYE CLINIC
NPI 1881872760
Eyewear Supplier in Ponca City, OK
- Organization
- Eyewear Supplier
About PONCA CITY EYE CLINIC
This page provides the complete NPI Profile along with additional information for Ponca City Eye Clinic, a provider established in Ponca City, Oklahoma operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1881872760 assigned on February 2008. The practitioner's primary taxonomy code is 332H00000X with license number 17919 (OK). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Ponca City Eye Clinic. The authorized official of this NPI record is Pamela J Poland Md (Owner)
- NPI
- 1881872760 Verify this NPI
- Provider Legal Name
- PAMELA J POLAND MD
- Other Organization Name
- PONCA CITY EYE CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 400 FAIRVIEW AVE - SUITE 18 PONCA CITY, OK 74601
- Location Phone
- (580) 762-5696
- Location Fax
- (580) 762-7622
- Mailing Address
- 400 FAIRVIEW AVE STE 18 PONCA CITY, OK 74601
- Mailing Phone
- (580) 762-5696
- Mailing Fax
- (580) 762-7622
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-04-2008
- Last Update Date
- 03-13-2013
- 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
Eyewear Supplier
- Taxonomy Code
- 332H00000X
- Type
- Suppliers
- License No.
- 17919
- License State
- OK
- Taxonomy Description
- An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881872760, enumerated as an "organization" on February 04, 2008.
The provider is located at 400 FAIRVIEW AVE - SUITE 18 PONCA CITY, OK 74601 and the phone number is (580) 762-5696.
Eyewear Supplier with taxonomy code 332H00000X.
