Provider Demographics
NPI:1245472539
Name:LOOK-SEE VISION CARE
Entity type:Organization
Organization Name:LOOK-SEE VISION CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:COT, DHM
Authorized Official - Phone:405-788-0016
Mailing Address - Street 1:304 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SEMINOLE
Mailing Address - State:OK
Mailing Address - Zip Code:74868-3428
Mailing Address - Country:US
Mailing Address - Phone:405-788-0016
Mailing Address - Fax:405-788-0019
Practice Address - Street 1:304 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SEMINOLE
Practice Address - State:OK
Practice Address - Zip Code:74868-3428
Practice Address - Country:US
Practice Address - Phone:405-788-0016
Practice Address - Fax:405-788-0019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-01
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7344152WP0200X, 207W00000X
OK36344152WV0400X, 156FX1800X
TX36344156FC0801X, 156FX1100X, 246Z00000X
NJD3309175L00000X
246YC3302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
No152WP0200XEye and Vision Services ProvidersOptometristPediatricsGroup - Single Specialty
No152WV0400XEye and Vision Services ProvidersOptometristVision TherapyGroup - Single Specialty
No156FC0801XEye and Vision Services ProvidersTechnician/TechnologistContact Lens FitterGroup - Single Specialty
No156FX1100XEye and Vision Services ProvidersTechnician/TechnologistOphthalmicGroup - Single Specialty
No156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
No175L00000XOther Service ProvidersHomeopathGroup - Single Specialty
No246YC3302XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health InformationCoding Specialist, Physician Office BasedGroup - Single Specialty
No246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100127610AMedicaid
OK200195200AMedicaid
OK200195200AMedicaid