Organization
L MAYES, PLLC
Active
Other names
Total Vision Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA LYNNE MAYES O.D. (OWNER/OPTOMETRIC PHYSICIAN)
(405) 790-0393
Entity
Organization
Contact information
Practice address
705 SW 19TH ST STE 160B, MOORE, OK 73160-3049
(405) 790-0393
(405) 790-0395
Mailing address
1800 S CODI ST, SAPULPA, OK 74066-6617
(405) 790-0393
(405) 790-0395
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2344
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100743190A
—
OK
Enumeration date
10/20/2016
Last updated
10/20/2016
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