OSU-AJ ENID EYE CLINIC – NPI #1386965143
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Health Care Provider Taxonomy Code for Clinic/Center

OSU-AJ ENID EYE CLINIC is an AHC clinic located in ENID, OK. NPPES has assigned the NPI number 1386965143 to OSU-AJ ENID EYE CLINIC on June 16, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “OSU-AJ ENID EYE CLINIC” is a dba name, the actual legal business name for this organization is OSU CENTER FOR HEALTH SCIENCES. The primary taxonomy selected by this provider is 261QM2500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Medical Specialty

The NPI profile was previously updated about 10 years ago on Mar 16, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for OSU-AJ ENID EYE CLINIC below.

NPI Profile for
OSU CENTER FOR HEALTH SCIENCES

NPI Number
1386965143
Enumeration Date

(about 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
OSU CENTER FOR HEALTH SCIENCES
Doing Business As (dba): OSU-AJ ENID EYE CLINIC
Primary location
615 E OKLAHOMA AVE
SUITE 101
ENID, OK 73701-5951
Phone: (918) 561-8306 Fax: (918) 561-5747
Mailing address
2345 SOUTHWEST BLVD
TULSA, OK 74107-2705
Phone: (918) 561-8306 Fax: (918) 561-5747
Organization Subpart
No
Authorized Official
ERIC POLAK
CFO OSU PHYSICIANS
Phone: (918) 561-8422
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM2500X
- Clinic/Center / Medical Specialty (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.