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Organization

MBR EYE LLC

Active
Other names
AFEC Wagoner
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFFRY ROSS OD (OWNER)
(918) 279-8830
Entity
Organization

Contact information

Practice address
1108 W CHEROKEE ST, WAGONER, OK 74467-4622
(918) 279-8830
Mailing address
10557 E HIGHWAY 51, BROKEN ARROW, OK 74014-2308
(918) 279-8830

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Enumeration date
12/12/2019
Last updated
12/13/2019
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