Provider Demographics
NPI:1831318633
Name:EYE CARE ASSOCIATES OF YUKON
Entity Type:Organization
Organization Name:EYE CARE ASSOCIATES OF YUKON
Other - Org Name:DR. MICHAEL J HAMPTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:405-354-3624
Mailing Address - Street 1:1604 PROFESSIONAL CIR
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-6314
Mailing Address - Country:US
Mailing Address - Phone:405-354-3624
Mailing Address - Fax:405-350-7512
Practice Address - Street 1:1604 PROFESSIONAL CIR
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-6314
Practice Address - Country:US
Practice Address - Phone:405-354-3624
Practice Address - Fax:405-350-7512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1109152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK731276615001OtherBLUE CROSS BLUE SHIELD
OK100762440AMedicaid
UT47250OtherSPECTERA
SC0182270001OtherPALMETTO GBA
PAOK01109OtherVISION BENEFITS OF AMERIC
1031427OtherAETNA HEALTH CARE
OKCE813OtherBLUELINCS
OK731276615001OtherBLUE CROSS BLUE SHIELD
OK100762440AMedicaid