Organization
OMNI EYE CENTER EDMOND INC.
Active
Other names
Omni Eye Center - Laser Vision
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN JEFFREY MELTON O.D. (PRESIDENT)
(405) 478-4444
Entity
Organization
Contact information
Practice address
1333 WEST 33RD STREET, EDMOND, OK 73013-6306
(405) 478-4444
(405) 478-4497
Mailing address
1333 WEST 33RD STREET, EDMOND, OK 73013-6306
(405) 478-4444
(405) 478-4497
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2311
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0968340001
CIGNA GOVERNMENT SERVICES DMERC
OK
01
—
731396793001
BLUE CROSS BLUE SHIELD
OK
Enumeration date
03/06/2007
Last updated
07/08/2009
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