Organization
ADVANCED OPTICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL LEWIS (OFFICE MANAGER)
(405) 755-7700
Entity
Organization
Contact information
Practice address
11308 N PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73120-7752
(405) 755-7700
(405) 755-7739
Mailing address
11308 N PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73120-7752
(405) 755-7700
(405) 755-7739
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
17979
OK
Other
Enumeration date
04/25/2007
Last updated
08/22/2020
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