| Organization Name: | ADVANTAGE EYECARE, P.C. |
| NPI Number: | 1720116932 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SCOTT MICHAEL CARLSON (PRESIDENT) |
| Mailing Address: | 5335 W Rogers Blvd Ste B Skiatook |
| State: | OK US |
| Postal Code: | 740705284 |
| Phone Number: | 9183964440 |
| Fax Number: | 9183964449 |
| NPI Enumeration Date: | 03/01/2007 |
| NPI Last Update Date: | 09/16/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WC0802X |
| License Number: | 2211 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OK |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Optometrist |
| Taxonomy Specialization: | Corneal and Contact Management |
| Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |