| |
1111 Sw 44th St, Oklahoma City, OK 73109-3601 | |
(405) 702-4302 | |
(405) 702-4310 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 1111 Sw 44th St, Oklahoma City, Oklahoma |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346610375 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (Oklahoma) | Secondary |
207W00000X | Ophthalmology | (Oklahoma) | Primary |
Mailing Address | Practice Location Address |
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1111 Sw 44th St, Oklahoma City, OK 73109-3601 Ph: (405) 702-4302 | 1111 Sw 44th St, Oklahoma City, OK 73109-3601 Ph: (405) 702-4302 |