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Organization

ANDERSON EYECARE PC

Active
Other names
Anderson Eyecare PLLC
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BECKY F ANDERSON (MANAGER)
(918) 455-4545
Entity
Organization

Contact information

Practice address
2001 S ELM PL STE B, BROKEN ARROW, OK 74012-7025
(918) 455-4545
(918) 455-4545
Mailing address
2001 S ELM PL STE B, BROKEN ARROW, OK 74012-7025
(918) 455-4545
(918) 455-4545

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1069
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
112326
EYEMED
OK
01
63655
AVESIS
OK
01
70357
SPECTERA
OK
01
9184554545
VSP
OK
Enumeration date
08/07/2008
Last updated
03/03/2014
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