Organization
LAKESIDE EYECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONTE HARREL OD (PRESIDENT)
(918) 671-5262
Entity
Organization
Contact information
Practice address
485 S ELM ST, OOLOGAH, OK 74053-3017
(918) 671-5262
Mailing address
17156 S 4102 RD, CLAREMORE, OK 74017-9460
(918) 671-5262
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
04/25/2024
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