Organization
HOLDENVILLE EYE CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY J LAVALLEY OD (OWNER)
(405) 379-3700
Entity
Organization
Contact information
Practice address
720 N HINCKLEY ST, HOLDENVILLE, OK 74848-3841
(405) 379-3700
(405) 379-3712
Mailing address
720 N HINCKLEY ST, HOLDENVILLE, OK 74848-3841
(405) 379-3700
(405) 379-3712
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
OK
Other
Enumeration date
11/06/2015
Last updated
02/19/2016
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