Organization
IDABEL PV LLC
Active
Other names
The Eye guys
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA E GRASSIE (BILLING)
(903) 329-5051
Entity
Organization
Contact information
Practice address
2020 S E WASHINGTON, IDABEL, OK 74745
(903) 329-5051
(903) 329-5053
Mailing address
4109 MOORES LN, TEXARKANA, TX 75503-2159
(903) 329-5051
(903) 329-5053
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/31/2022
Last updated
12/08/2022
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