Organization
BA EYE SITE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW OZMENT OD (DOCTOR/OWNER)
(405) 248-6306
Entity
Organization
Contact information
Practice address
2500 W NEW ORLEANS ST, BROKEN ARROW, OK 74011-1574
(405) 213-3837
Mailing address
2500 W NEW ORLEANS ST, BROKEN ARROW, OK 74011-1574
(405) 213-3837
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2368
OK
Other
Enumeration date
12/16/2013
Last updated
12/16/2013
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