Organization
SCOTT EYE CARE P L L C
Active
Parent organization
NORTHWEST EYE ASSOCIATES PC
Other names
Northwest Eye Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWEST EYE ASSOCIATES PC
Authorized official
DR. DAVID C JONES O.D. (SOLE MEMBER)
(580) 938-5210
Entity
Organization
Contact information
Practice address
400 S MAIN ST, SHATTUCK, OK 73858
(580) 938-5210
(580) 938-2166
Mailing address
PO BOX 770, SHATTUCK, OK 73858-0770
(580) 938-5210
(580) 938-2166
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2374
OK
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200078760A
—
OK
01
—
410049616
RAILROAD MEDICARE
OK
Enumeration date
11/07/2006
Last updated
06/26/2014
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