Grove Eye Center Inc

NPI 1407038417 - Optometrist - 152WC0802X

NPI Details
NPI 1407038417
Enumeration Date 11/30/2007
Last Updated 03/17/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name BURNESS R BURNESS
Position PRESIDENT
Phone (918) 786-9777
Fax (918) 786-8458
Practice Location
1013 S MAIN ST
GROVE OK, 74344-2847, US
Phone (918) 786-9777
Fax (918) 786-8458
Business Location
PO BOX 452529
GROVE OK, 74345-2529, US
Phone (918) 786-9777
Fax (918) 786-8458
Toxanomy
Taxonomy Code 152WC0802X
License State Oklahoma
License Number 970
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According to our database, Grove Eye Center Inc NPI is 1407038417, taxonomy code is 152WC0802X and license number is 970, license state is located at Oklahoma. Grove Eye Center Inc physically located at 1013 S Main St, Grove OK, 74344-2847. NPI Number 1033115704 has the healthcare provider type.

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1407038417 NPI number is provided on an as is basis without warranty of any kind. 1407038417 is maintained by the National Plan & Provider Enumeration System. The contents of Grove Eye Center Inc are for informational purposes only.