Provider Demographics
NPI:1295982635
Name:JAN JAY RIGNEY O.D. INC.
Entity type:Organization
Organization Name:JAN JAY RIGNEY O.D. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAN
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:RIGNEY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:918-272-3937
Mailing Address - Street 1:11880 E 86TH ST N
Mailing Address - Street 2:
Mailing Address - City:OWASSO
Mailing Address - State:OK
Mailing Address - Zip Code:74055-2535
Mailing Address - Country:US
Mailing Address - Phone:918-272-3937
Mailing Address - Fax:918-272-4251
Practice Address - Street 1:11880 E 86TH ST N
Practice Address - Street 2:
Practice Address - City:OWASSO
Practice Address - State:OK
Practice Address - Zip Code:74055-2535
Practice Address - Country:US
Practice Address - Phone:918-272-3937
Practice Address - Fax:918-272-4251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-27
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK0911970001Medicare NSC