Organization
INNOVATIVE EYECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW BROOKS O.D. (OWNER)
(405) 248-8836
Entity
Organization
Contact information
Practice address
1200 NW 178TH ST, SUITE 100, EDMOND, OK 73012-4279
(405) 509-2100
Mailing address
1200 NW 178TH ST, STE 100, EDMOND, OK 73012-4278
(405) 509-2100
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
OK
Other
Enumeration date
09/01/2010
Last updated
07/08/2021
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