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Organization

KEDZYMAC ENTERPRISES, LLC

Active
Other names
Cleveland Vision Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LISA KEDZUF-MCGINNIS OD (OPTOMETRIST)
(918) 520-4344
Entity
Organization

Contact information

Practice address
107 S BROADWAY ST, CLEVELAND, OK 74020-4614
(918) 385-2245
Mailing address
9318 SCARLET OAK DR, SAND SPRINGS, OK 74063-3901

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Enumeration date
06/06/2022
Last updated
04/19/2024
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