Provider Demographics
NPI:1609092972
Name:SPRINGS OPTICAL
Entity Type:Organization
Organization Name:SPRINGS OPTICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE
Authorized Official - Prefix:
Authorized Official - First Name:SPRINGS
Authorized Official - Middle Name:
Authorized Official - Last Name:OPTICAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-233-4700
Mailing Address - Street 1:218 SUNSET PLAZA
Mailing Address - Street 2:
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73703
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:218 SUNSET PLAZA
Practice Address - Street 2:
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73703
Practice Address - Country:US
Practice Address - Phone:580-233-4700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK4943850001Medicare ID - Type UnspecifiedMEDICARE NUMBER