Organization
LEN D. HART, P.C.
Active
Other names
Primary Eye Care Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEN D. HART O.D. (OWNER)
(918) 371-3339
Entity
Organization
Contact information
Practice address
1103 W CENTER ST, COLLINSVILLE, OK 74021-3108
(918) 371-3339
(918) 371-9600
Mailing address
PO BOX 640, COLLINSVILLE, OK 74021-0640
(918) 371-3339
(918) 371-9600
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
981
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100763740A
—
OK
01
—
1710025697
BLUE CROSS BLUE SHIELD
—
Enumeration date
02/02/2007
Last updated
04/30/2008
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