Organization
MASSENGALE EYE CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CURT LEROY MASSENGALE O.D. (OWNER/OPTOMETRIST)
(405) 631-2020
Entity
Organization
Contact information
Practice address
2828 N BROADWAY ST, MOORE, OK 73160-4304
(405) 631-2020
(405) 631-2114
Mailing address
2828 N BROADWAY ST, MOORE, OK 73160-4304
(405) 631-2020
(405) 631-2114
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1089
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100761620A
—
OK
Enumeration date
06/07/2011
Last updated
08/13/2012
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