Organization
MED SOUTHWEST, PLLC
Active
Other names
MyEyeDr.
Organization subpart
No
Provider details
NPI number
Authorized official
SUE DOWNES (SECRETARY)
(703) 847-8899
Entity
Organization
Contact information
Practice address
111 S LEWIS AVE, TULSA, OK 74104-1616
(918) 582-2020
(918) 582-5307
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
09/20/2021
Last updated
05/30/2022
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