Organization
LEWIS & LEWIS EYE CARE CLINIC, P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY NEAL LEWIS O. D. (OWNER)
(405) 390-9106
Entity
Organization
Contact information
Practice address
14975 BYPASS ST, CHOCTAW, OK 73020-8504
(405) 390-9106
(405) 390-1105
Mailing address
14975 BYPASS ST, CHOCTAW, OK 73020-8504
(405) 390-9106
(405) 390-1105
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2072 AND 768
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100763240A
—
OK
05
—
100766570A
—
OK
01
—
1053311183
TERRY LEWIS NPI
OK
01
—
1317550002
PALMETTO GBA DMERC
OK
01
—
1952301095
LARRY LEWIS NPI
OK
01
—
443703087
TERRY LEWIS
OK
01
—
443703087001
TERRY LEWIS BLUE CROSS
OK
01
—
456607937
LARRY LEWIS
OK
01
—
456607937001
LARRY LEWIS BLUE CROSS
OK
01
—
700522004
MEDICARE PTAN
OK
Enumeration date
04/11/2007
Last updated
12/07/2023
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