Organization · Type 2 NPI
Gore Eye Clinic PLLC
Clinic/Center · Gore, OK
NPI number
1053542142
Active
Practice location
202 N Main
Gore, OK 74435
Mailing address
PO Box 712
Gore, OK 74435-0712
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 2470 (OK) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
About NPI 1053542142
Gore Eye Clinic PLLC's National Provider Identifier is 1053542142, issued on Aug 6, 2009. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Gore, OK. The record was last updated on Jan 7, 2011.