Provider Demographics
NPI:1902384126
Name:OKEECHOBEE VALUE SPECS, LLC
Entity Type:Organization
Organization Name:OKEECHOBEE VALUE SPECS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTELS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:863-763-3937
Mailing Address - Street 1:1611 S PARROTT AVE
Mailing Address - Street 2:
Mailing Address - City:OKEECHOBEE
Mailing Address - State:FL
Mailing Address - Zip Code:34974-6180
Mailing Address - Country:US
Mailing Address - Phone:863-763-3937
Mailing Address - Fax:
Practice Address - Street 1:1611 S PARROTT AVE
Practice Address - Street 2:
Practice Address - City:OKEECHOBEE
Practice Address - State:FL
Practice Address - Zip Code:34974-6180
Practice Address - Country:US
Practice Address - Phone:863-357-2250
Practice Address - Fax:863-357-2254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-31
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC3776152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty