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Organization
FIRST LOOK EYEWEAR
Active
Organization
FIRST LOOK EYEWEAR
Active
Other names
Jay E Leemaster, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY E LEEMASTER M.D. (OWNER)
(405) 793-1181
Entity
Organization
Contact information
Practice address
2909 S TELEPHONE RD, MOORE, OK 73160-2937
(405) 793-1181
(405) 790-0705
Mailing address
2909 S TELEPHONE RD, MOORE, OK 73160-2937
(405) 793-1181
(405) 790-0705
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
232301
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100769110A
—
OK
01
—
446523420-001
BLUE CROSS BLUE SHIELD
OK
01
—
791587971
WATERSTONE
OK
Enumeration date
02/28/2007
Last updated
02/12/2009
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