Provider Demographics
NPI:1851630313
Name:NJVOC, PLLC
Entity Type:Organization
Organization Name:NJVOC, PLLC
Other - Org Name:NJOY PHYSICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLSTED
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:405-590-9698
Mailing Address - Street 1:10900 HEFNER POINTE DR STE 101
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-5065
Mailing Address - Country:US
Mailing Address - Phone:405-842-6060
Mailing Address - Fax:405-842-6130
Practice Address - Street 1:10900 HEFNER POINTE DR STE 101
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-5065
Practice Address - Country:US
Practice Address - Phone:405-842-6060
Practice Address - Fax:405-842-6130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-04
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK312268Medicare PIN