Organization
PREMIER EYECARE OF EDMOND PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMBER MAYES O.D. (OPTOMETRIST)
(405) 513-8150
Entity
Organization
Contact information
Practice address
2841 NW 173RD STREET, EDMOND, OK 73003
(405) 513-8150
(405) 513-8153
Mailing address
2841 NW 173RD ST, EDMOND, OK 73012-6728
(405) 513-8150
(405) 513-8153
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2613
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200115110A
—
OK
Enumeration date
06/18/2007
Last updated
10/02/2012
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