Provider Demographics
NPI:1114187051
Name:LOOK-SEE VISION SERVICES
Entity Type:Organization
Organization Name:LOOK-SEE VISION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/EXAMINER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:COT, DIHOM
Authorized Official - Phone:405-788-0016
Mailing Address - Street 1:304 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SEMINOLE
Mailing Address - State:OK
Mailing Address - Zip Code:74868-3428
Mailing Address - Country:US
Mailing Address - Phone:405-788-0016
Mailing Address - Fax:405-788-0019
Practice Address - Street 1:304 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SEMINOLE
Practice Address - State:OK
Practice Address - Zip Code:74868-3428
Practice Address - Country:US
Practice Address - Phone:405-788-0016
Practice Address - Fax:405-788-0019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-13
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK36344261QM2500X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies