Organization
THE EYE SITE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CALLIE MOSBURG OD (OWNER)
(580) 732-2393
Entity
Organization
Contact information
Practice address
921 OKLAHOMA BLVD STE A, ALVA, OK 73717-2631
(580) 732-2393
Mailing address
502 MYERS DR, ALVA, OK 73717-3504
(580) 732-2393
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2861
OK
152WV0400X
Vision Therapy Optometrist
2861
OK
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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