Organization
SOUTHERN OKLAHOMA EYE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVAN LEE BRAGG O.D. (SR MANAGER)
(405) 665-5685
Entity
Organization
Contact information
Practice address
212 S DEAN A MCGEE AVE, WYNNEWOOD, OK 73098-7810
(405) 665-5685
(405) 665-5694
Mailing address
212 S DEAN A MCGEE AVE, PO BOX 519, WYNNEWOOD, OK 73098-7810
(405) 665-5685
(405) 665-5694
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
02/15/2007
Last updated
05/01/2013
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