Organization
DRS. FORD AND EDWARDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY L FORD OD (CO-OWNER)
(580) 225-1980
Entity
Organization
Contact information
Practice address
101 N RANDALL AVE, ELK CITY, OK 73644-5231
(580) 225-1980
(580) 225-8648
Mailing address
PO BOX 624, ELK CITY, OK 73648-0624
(580) 225-1980
(580) 225-8648
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100734930A
—
OK
Enumeration date
01/14/2010
Last updated
02/21/2012
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