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Contact Information

BOALDIN EYE CARE
1901 NW EXPRESSWAY
SUITE #2058
OKLAHOMA CITY, OK73118-1607
 Phone: 405-767-2020
 Fax: 405-767-2022
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for BOALDIN EYE CARE

NPI Number 1669750246
LBN Legal business name BOALDIN EYE CARE
Authorized official CHRIS BOALDIN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/29/2011
Last updated 09/15/2011 - About 15 years ago
Identifiers
OK License # 2640
OK Medicaid 200344100A
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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