Organization
EYECARE OF CLAREMORE-CLAREMORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC RAY KUYKENDALL O.D. (OWNER)
(918) 341-2020
Entity
Organization
Contact information
Practice address
221 S FLORENCE AVE, SUITE 150, CLAREMORE, OK 74017-8221
(918) 341-2020
(918) 341-3888
Mailing address
221 S FLORENCE AVE, SUITE 150, CLAREMORE, OK 74017-8221
(918) 341-2020
(918) 341-3888
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2161
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200091700A
—
OK
Enumeration date
06/08/2006
Last updated
02/20/2013
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