Organization
OKLAHOMA EYE INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMRAN MASSOUMI MD (OWNER/MD)
(580) 225-1555
Entity
Organization
Contact information
Practice address
1901 KEMP BLVD, WICHITA FALLS, TX 76309-3959
(580) 536-0000
Mailing address
1020 N MAIN ST, ELK CITY, OK 73644-2831
(580) 225-1555
(580) 225-1558
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
08376T
TX
152W00000X
Optometrist
2167
OK
152W00000X
Optometrist
2718
OK
207W00000X
Ophthalmology Physician
Primary
23117
OK
Other
Enumeration date
03/31/2017
Last updated
05/09/2024
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