Organization
MAX D. VENARD, O.D., P.C.
Active
Other names
MOORE EYECARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAX D VENARD OD (OWNER)
(405) 794-7544
Entity
Organization
Contact information
Practice address
705 CITY AVE, MOORE, OK 73160-3819
(405) 794-7544
(405) 794-7599
Mailing address
705 CITY AVE, MOORE, OK 73160-3819
(405) 794-7544
(405) 794-7599
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0932
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100744400A
—
OK
01
—
730942527002
BLUE CROSS BLUE SHIELD
OK
Enumeration date
01/16/2007
Last updated
03/18/2008
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