Provider Demographics
NPI:1770208431
Name:EYE CAAN PLLC
Entity type:Organization
Organization Name:EYE CAAN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:B
Authorized Official - Last Name:BOALDIN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:316-993-0575
Mailing Address - Street 1:3908 PRESTON CT
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-5019
Mailing Address - Country:US
Mailing Address - Phone:316-993-0575
Mailing Address - Fax:
Practice Address - Street 1:6303 NW 23RD ST
Practice Address - Street 2:
Practice Address - City:BETHANY
Practice Address - State:OK
Practice Address - Zip Code:73008-5931
Practice Address - Country:US
Practice Address - Phone:405-782-0300
Practice Address - Fax:405-782-0302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-05
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty