Organization · Type 2 NPI
Grand Lake Eye Care, PC
Specialist · Grove, OK
NPI number
1073649844
Active
Practice location
1120 Neo Loop
Grove, OK 74344
Fax (918) 787-6002
Mailing address
PO Box 450400
Grove, OK 74345
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 21196 (OK) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4 other providers at this address
- Good Shepherd Hospice IncCommunity Based Hospice Care Agency Grove, OK NPI 1447352505
- Grand Lake Optical, LLCEyewear Supplier Grove, OK NPI 1649383191
- John R. Smithson Jr., MDNeurological Surgery Physician Grove, OK NPI 1669465811
- Kevin Keith Toller, MDOphthalmology Physician Grove, OK NPI 1457373466
About NPI 1073649844
Grand Lake Eye Care, PC's National Provider Identifier is 1073649844, issued on Feb 26, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Grove, OK. The record was last updated on Nov 18, 2010.