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Organization

PURCELL EYE CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SCOTT B MENDELL O.D. (OWNER)
(405) 431-0500
Entity
Organization

Contact information

Practice address
1711 N GREEN AVE, PURCELL, OK 73080-1731
(405) 527-2020
Mailing address
1711 N GREEN AVE, PURCELL, OK 73080-1731
(405) 527-2020

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2662
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ZYW6560481
MEDICARE
OK
Enumeration date
01/06/2017
Last updated
02/16/2018
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