Organization
HENRYETTA EYE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY M. CURTIS (ACCOUNT MANAGER)
(918) 652-2345
Entity
Organization
Contact information
Practice address
900 W MAIN ST, HENRYETTA, OK 74437-4252
(918) 652-2345
(918) 652-2537
Mailing address
900 W MAIN ST, HENRYETTA, OK 74437-4252
(918) 652-2345
(918) 652-2537
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200132620A
—
OK
01
—
DN5710
RAIL ROAD MEDICARE
OK
Enumeration date
06/11/2007
Last updated
07/21/2022
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