Organization
TECUMSEH EYE CLINIC PLLC
Active
Other names
Harrah Eye Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA OZMENT (ADMINISTRATOR)
(405) 598-6558
Entity
Organization
Contact information
Practice address
123 E WASHINGTON ST, TECUMSEH, OK 74873-3241
(405) 598-6558
Mailing address
123 E WASHINGTON ST, TECUMSEH, OK 74873-3241
(405) 598-6558
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2368
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4708984510002
BCBS GROUP
OK
Enumeration date
12/04/2006
Last updated
11/05/2008
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