BE THOU MY VISION PC, Optometrist FAIRVIEW, OK

Contact Information

BE THOU MY VISION, PC

111 E BROADWAY
FAIRVIEW, OK 73737-2124

Phone: 580-227-4878
Fax: 580-227-4666
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Optometrist	152W00000X	41	Optometry
Durable Medical Equipment & Medical Supplies	332B00000X	54	Other Medical Supply Company
Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for BE THOU MY VISION PC · (Female)

NPI #	`1225183957`
Status	Active
Credentials
Entity	Individual
Enumeration date	01/24/2007
Last updated	10/29/2020 - About 6 years ago
Sole proprietor ¹	Not specified
Identifiers	OK License # 973 OK Medicaid 100766110B OK Other 0246290001 DME MAC C OK Other DG6895 RAILROAD MEDICARE
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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