Organization
DR CHARLES W GURLEY OD PC
Active
Other names
Advanced Eye Care Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEQUITA M. GURLEY (OFFICE MANAGER)
(580) 332-5606
Entity
Organization
Contact information
Practice address
216 W 12TH ST, ADA, OK 74820-6404
(580) 332-5606
(580) 332-3946
Mailing address
216 W 12TH ST, ADA, OK 74820-6404
(580) 332-5606
(580) 332-3946
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1108
OK
332B00000X
Durable Medical Equipment & Medical Supplies
1108
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100741180A
—
OK
Enumeration date
03/07/2007
Last updated
07/03/2008
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