BE THOU MY VISION, PC; NPI #1225183957

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

NPI # 1225183957

LBN Legal business name BE THOU MY VISION, PC

Authorized official BLAKE CARLISLE - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/24/2007

Last updated 10/29/2020 - About 6 years ago

Identifiers

OK	License #	973
OK	Medicaid	100766110B
OK	Other	0246290001	DME MAC C
OK	Other	DG6895	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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