Organization
HERITAGE EYE SURGERY CENTER, LLC
Active
Other names
Precision Vision Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DARRELL J PICKARD M.D. (OWNER)
(405) 733-4545
Entity
Organization
Contact information
Practice address
6922 S. WESTERN, SUITE 102, OKLAHOMA CITY, OK 73139-1890
(405) 733-4545
(405) 733-1239
Mailing address
6922 S. WESTERN, SUITE 102, OKLAHOMA CITY, OK 73139-1890
(405) 733-4545
(405) 733-1239
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0019
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100734320A
—
OK
Enumeration date
04/10/2007
Last updated
10/12/2012
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