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Contact Information

COCKRELL EYECARE CENTER
534 ILLINOIS ST
PAWNEE, OK74058-2036
 Phone: 918-762-2573
 Fax: 918-762-2574
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for COCKRELL EYECARE CENTER

NPI # 1225158314
LBN Legal business name COCKRELL EYECARE CENTER
Authorized official DAVID COCKRELL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/30/2007
Last updated 03/18/2010 - About 16 years ago
Identifiers
OK Medicaid 100768620B
Other C05037 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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