Gore Eye Clinic Pllc

NPI 1053542142 - Clinic/Center - 261Q00000X

NPI Details
NPI 1053542142
Enumeration Date 08/06/2009
Last Updated 01/07/2011
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name JONI SUE JONI
Position OPTOMETRIST
Phone (918) 489-2512
Fax
Practice Location
202 N MAIN
GORE OK, 74435, US
Phone (918) 489-2512
Fax
Business Location
PO BOX 712
GORE OK, 74435-0712, US
Phone (918) 489-2512
Fax
Toxanomy
Taxonomy Code 261Q00000X
License State Oklahoma
License Number 2470
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According to our database, Gore Eye Clinic Pllc NPI is 1053542142, taxonomy code is 261Q00000X and license number is 2470, license state is located at Oklahoma. Gore Eye Clinic Pllc physically located at 202 N Main, Gore OK, 74435. NPI Number 1033115704 has the healthcare provider type.

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1053542142 NPI number is provided on an as is basis without warranty of any kind. 1053542142 is maintained by the National Plan & Provider Enumeration System. The contents of Gore Eye Clinic Pllc are for informational purposes only.