Organization
EYE CARE ON GORE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN E BARNES O.D. (OWNER)
(580) 355-3036
Entity
Organization
Contact information
Practice address
1415 W GORE BLVD, LAWTON, OK 73501-3606
(580) 355-3036
(580) 248-1162
Mailing address
1415 W GORE BLVD, LAWTON, OK 73501-3606
(580) 355-3036
(580) 248-1162
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
805
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100769060A
—
OK
Enumeration date
10/30/2007
Last updated
04/20/2008
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