Organization
OKLAHOMA EYE INSTITUTE PROCEDURES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMRAN MASSOUMI MD (MEDICAL DIRECTOR)
(580) 225-1555
Entity
Organization
Contact information
Practice address
1020 N MAIN ST, ELK CITY, OK 73644-2831
(580) 225-1555
Mailing address
1020 N MAIN ST, ELK CITY, OK 73644-2831
(580) 225-1555
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
—
Other
Enumeration date
06/15/2023
Last updated
07/07/2023
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