Organization
LAVALLEY VISION CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA T ANGEL (ACCOUNT MANAGER)
(918) 652-2345
Entity
Organization
Contact information
Practice address
900 W MAIN ST, HENRYETTA, OK 74437-4252
(918) 652-2345
(918) 652-2537
Mailing address
900 W MAIN ST, HENRYETTA, OK 74437-4252
(918) 652-2345
(918) 652-2537
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2071
OK
Other
Enumeration date
03/27/2008
Last updated
03/27/2008
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