Organization
JAMES A EDWARDS OD PC
Active
Organization
JAMES A EDWARDS OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIM A EDWARDS OD PC (PRESIDENT)
(580) 248-5280
Entity
Organization
Contact information
Practice address
409 SW C AVE, LAWTON, OK 73501-4022
(580) 248-5280
(580) 357-0301
Mailing address
409 SW C AVE, LAWTON, OK 73501-4022
(580) 248-5280
(580) 357-0301
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
976
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05731
SPECTERA
—
01
—
4946483990001
BLUE CROSS AND BLUE SHIEL
OK
01
—
OK0976
EYEMED VISIONCARE
OK
Enumeration date
04/23/2007
Last updated
02/13/2008
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