Healthcare Provider Details

I. General information

NPI: 1851936611
Provider Name (Legal Business Name): LOW VISION STRATEGIES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2019
Last Update Date: 02/03/2020
Certification Date: 02/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18433 SIERRA LN
NEWALLA OK
74857-8449
US

IV. Provider business mailing address

18433 SIERRA LN
NEWALLA OK
74857-8449
US

V. Phone/Fax

Practice location:
  • Phone: 405-255-2579
  • Fax:
Mailing address:
  • Phone: 405-255-2579
  • Fax: 405-546-4108

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RITA EMMA GREENE
Title or Position: CREDENTIALING MANAGER
Credential:
Phone: 918-899-7375