Frederick Eye Care Pllc

NPI 1164585758 - Optometrist - 152W00000X

NPI Details
NPI 1164585758
Enumeration Date 12/18/2006
Last Updated 04/19/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JIMMY D JIMMY
Position OWNER
Phone (580) 335-2020
Fax (580) 335-7008
Practice Location
104 W GRAND AVE
FREDERICK OK, 73542-5436, US
Phone (580) 335-2020
Fax (580) 335-7008
Business Location
104 W GRAND AVE
FREDERICK OK, 73542-5436, US
Phone (580) 335-2020
Fax (580) 335-7008
Toxanomy
Taxonomy Code 152W00000X
License State Oklahoma
License Number 2471
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According to our database, Frederick Eye Care Pllc NPI is 1164585758, taxonomy code is 152W00000X and license number is 2471, license state is located at Oklahoma. Frederick Eye Care Pllc physically located at 104 W Grand Ave, Frederick OK, 73542-5436. NPI Number 1033115704 has the healthcare provider type.

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1164585758 NPI number is provided on an as is basis without warranty of any kind. 1164585758 is maintained by the National Plan & Provider Enumeration System. The contents of Frederick Eye Care Pllc are for informational purposes only.