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Organization

ADVANCED EYE SW 44TH LLC

Active
Other names
ADVANCED EYE CARE
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN PETER BELARDO M.D. (OWNER/OPHTHALMOLOGIST)
(405) 755-7700
Entity
Organization

Contact information

Practice address
1111 SW 44TH ST, OKLAHOMA CITY, OK 73109-3601
(405) 702-4302
(405) 702-4310
Mailing address
1111 SW 44TH ST, OKLAHOMA CITY, OK 73109-3601
(405) 702-4302
(405) 702-4310

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
OK
207W00000X
Ophthalmology Physician
Primary
OK

Other

Enumeration date
10/02/2015
Last updated
10/02/2015
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