Organization
MAYER EYE CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TATYANA VICTORIA MAYER OD (PRESIDENT)
(580) 762-0870
Entity
Organization
Contact information
Practice address
1722 N 4TH ST STE C, PONCA CITY, OK 74601-2745
(580) 762-0870
(580) 762-0871
Mailing address
1722 N 4TH ST STE C, PONCA CITY, OK 74601-2745
(580) 762-0870
(580) 762-0871
Taxonomy
Speciality
Code
Description
License number
State
152WP0200X
Pediatric Optometrist
Primary
2343
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200074960A
—
OK
Enumeration date
11/02/2007
Last updated
10/13/2014
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