Organization
ADVANCED FAMILY EYE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFRY ALAN ROSS O.D. (PRESIDENT)
(918) 279-8830
Entity
Organization
Contact information
Practice address
11319 SOUTH STATE HIGHWAY 51, SUITE 700, COWETA, OK 74429
(918) 279-8830
Mailing address
9543 N 35TH ST E, WAGONER, OK 74467-8127
(918) 260-8870
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2541
OK
Other
Enumeration date
07/31/2007
Last updated
05/13/2009
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