Organization
OKLAHOMA MEDICAL EYE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON ELLEN OD (OWNER)
(918) 747-2020
Entity
Organization
Contact information
Practice address
244 S. GATEWAY PLACE, SUITE 401, JENKS, OK 74037
(918) 747-2020
(918) 747-2056
Mailing address
244 S. GATEWAY PLACE, SUITE 401, JENKS, OK 74037
(918) 747-2020
(918) 747-2056
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
OK
Other
Enumeration date
05/06/2015
Last updated
03/22/2019
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