Organization
ELLIOTT VISION CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFERY DALE ELLIOTT OD (OWNER)
(580) 272-8253
Entity
Organization
Contact information
Practice address
1139 N HILLS CTR, ADA, OK 74820-1882
(580) 332-6000
(580) 332-6006
Mailing address
1139 N HILLS CTR, ADA, OK 74820-1882
(580) 332-6000
(580) 332-6006
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2241
OK
Other
Enumeration date
02/17/2016
Last updated
01/17/2022
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