Organization
ADA FAMILY EYE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN CHRISTOPHER GURLEY (PRESIDENT)
(580) 436-2020
Entity
Organization
Contact information
Practice address
309 S TOWNSEND ST, ADA, OK 74820-6429
(580) 436-2020
Mailing address
309 S TOWNSEND ST, ADA, OK 74820-6429
(580) 436-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OK2064
OK
332H00000X
Eyewear Supplier
OK2064
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100763290B
—
OK
01
—
410035923
MEDICARE RAILROAD
OK
Enumeration date
03/13/2007
Last updated
10/28/2010
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