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Organization

BONAVISION EYE CENTER, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. IRENE H LAM OD (OPTOMETRIST)
(405) 206-4445
Entity
Organization

Contact information

Practice address
2815 N CLASSEN BLVD, OKLAHOMA CITY, OK 73106-5419
(405) 528-8200
(405) 528-8201
Mailing address
2815 N CLASSEN BLVD, OKLAHOMA CITY, OK 73106-5419
(405) 528-8200
(405) 528-8201

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OK2090
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100748350A
OK
Enumeration date
04/14/2007
Last updated
10/31/2023
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