Provider Demographics
NPI:1023009594
Name:SLEEP ASSOCIATES LLC
Entity Type:Organization
Organization Name:SLEEP ASSOCIATES LLC
Other - Org Name:THE SLEEP CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:O'CONNELL
Authorized Official - Suffix:
Authorized Official - Credentials:CRT,RCP
Authorized Official - Phone:405-767-6970
Mailing Address - Street 1:16125 N MAY AVE STE A
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-8979
Mailing Address - Country:US
Mailing Address - Phone:405-767-6970
Mailing Address - Fax:405-879-1949
Practice Address - Street 1:16125 N MAY AVE
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-8978
Practice Address - Country:US
Practice Address - Phone:405-767-6970
Practice Address - Fax:405-879-1949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-02
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100748750AMedicaid
OK470001228OtherRAILROAD MEDICARE
OK400522141Medicare ID - Type Unspecified