Healthcare Provider Details

I. General information

NPI: 1245472539
Provider Name (Legal Business Name): LOOK-SEE VISION CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2009
Last Update Date: 04/01/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 N MAIN ST
SEMINOLE OK
74868-3428
US

IV. Provider business mailing address

304 N MAIN ST
SEMINOLE OK
74868-3428
US

V. Phone/Fax

Practice location:
  • Phone: 405-788-0016
  • Fax: 405-788-0019
Mailing address:
  • Phone: 405-788-0016
  • Fax: 405-788-0019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152WP0200X
TaxonomyPediatric Optometrist
License Number7344
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code152WV0400X
TaxonomyVision Therapy Optometrist
License Number36344
License Number StateOK
# 3
Primary TaxonomyN
Taxonomy Code156FC0801X
TaxonomyContact Lens Fitter
License Number36344
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code156FX1100X
TaxonomyOphthalmic Technician/Technologist
License Number36344
License Number StateTX
# 5
Primary TaxonomyN
Taxonomy Code156FX1800X
TaxonomyOptician
License Number36344
License Number StateOK
# 6
Primary TaxonomyN
Taxonomy Code175L00000X
TaxonomyHomeopath
License NumberD3309
License Number StateNJ
# 7
Primary TaxonomyN
Taxonomy Code246YC3302X
TaxonomyPhysician Office Based Coding Specialist
License Number
License Number State
# 8
Primary TaxonomyN
Taxonomy Code246Z00000X
TaxonomyOther Specialist/Technologist
License Number36344
License Number StateTX
# 9
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number7344
License Number StateOK

VIII. Authorized Official

Name: MR. JEFFERY WILLIAM LEE
Title or Position: PARTNER
Credential: COT, DHM
Phone: 405-788-0016