Organization
SEMINOLE VISION CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN L MCRAY OD (OPTOMETRIC PHYSICIAN)
(405) 382-2020
Entity
Organization
Contact information
Practice address
1909 N MILT PHILLIPS AVE, SEMINOLE, OK 74868-2337
(405) 382-2020
(405) 382-3566
Mailing address
1909 N MILT PHILLIPS AVE, SEMINOLE, OK 74868-2337
(405) 382-2020
(405) 382-3566
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2077
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100763910A
—
OK
01
—
444769634
HEALTHCHOICE
OK
01
—
444769634001
BCBS
OK
Enumeration date
11/01/2006
Last updated
03/09/2012
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