Organization
MCALESTER VISION CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY T DUFF OD (OWNER)
(918) 426-0106
Entity
Organization
Contact information
Practice address
211 N 5TH ST, MCALESTER, OK 74501-4713
(918) 426-0106
(918) 426-0443
Mailing address
PO BOX 1770, MCALESTER, OK 74502-1770
(918) 426-0106
(918) 426-0443
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
1154
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200105230B
—
OK
01
—
410005988
MEDICARE ID
OK
Enumeration date
01/30/2007
Last updated
05/17/2010
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