Organization
GUTHRIE EYE CARE CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS TODD COOK O.D. (PRESIDENT)
(405) 260-2020
Entity
Organization
Contact information
Practice address
2114 W NOBLE AVE, GUTHRIE, OK 73044-2116
(405) 260-2020
(405) 282-8886
Mailing address
2114 W NOBLE AVE, GUTHRIE, OK 73044-2116
(405) 260-2020
(405) 282-8886
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1193
OK
152W00000X
Optometrist
2032
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043728001
DMERC
—
05
—
100745070A
—
OK
Enumeration date
05/31/2005
Last updated
07/06/2010
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