Provider Demographics
NPI:1760674014
Name:EYES LTD, PC
Entity Type:Organization
Organization Name:EYES LTD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:C.
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:COWELL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:405-848-3937
Mailing Address - Street 1:6508 N WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73116-7324
Mailing Address - Country:US
Mailing Address - Phone:405-848-3937
Mailing Address - Fax:405-840-5256
Practice Address - Street 1:6508 N. WESTERN AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-4522
Practice Address - Country:US
Practice Address - Phone:405-848-3937
Practice Address - Fax:405-840-5256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-10
Last Update Date:2010-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK906152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKOKA100551OtherGROUP PTAN