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Organization

STOTTS EYECARE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HEATH DAVID STOTTS O.D. (PRESIDENT)
(580) 233-3599
Entity
Organization

Contact information

Practice address
502 W OWEN K GARRIOTT RD, ENID, OK 73701-5523
(580) 233-3599
(580) 237-2560
Mailing address
502 W OWEN K GARRIOTT RD, ENID, OK 73701-5523
(580) 233-3599
(580) 237-2560

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2754
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200453360A
OK
Enumeration date
09/28/2012
Last updated
04/02/2013
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