Organization Name: | OKLAHOMA CATARACT AND LASER CENTER |
NPI Number: | 1275665911 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KAY MCCARLEY (ACCOUNTS MANAGER) |
Mailing Address: | 63223 E 290 Rd Grove |
State: | OK US |
Postal Code: | 743447552 |
Phone Number: | 9187869013 |
Fax Number: | |
NPI Enumeration Date: | 03/09/2007 |
NPI Last Update Date: | 03/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QS0132X |
License Number: | 0053 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ophthalmologic Surgery |
Taxonomy Definition: |