Organization · NPI-2

Advanced Eye Sw 44th LLC

Ophthalmology · Oklahoma City, OK

NPI number1346610375
StatusActive
Last updated in NPPESOct 2, 2015

Details

NPI
1346610375
Entity type
Organization (NPI-2)
Legal business name
Advanced Eye Sw 44th LLC
Organization subpart
No
Enumeration date
Oct 2, 2015
Last updated
Oct 2, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207W00000X Ophthalmology–OKYes
152W00000X Optometrist–OK

Other names

  • Advanced Eye Care (Other Name)

Practice location

1111 Sw 44th St
Oklahoma City, OK 73109-3601

Phone 405-702-4302 · Fax 405-702-4310

Mailing address

1111 Sw 44th St
Oklahoma City, OK 73109-3601

Phone 405-702-4302 · Fax 405-702-4310

Authorized official

John Peter Belardo
Owner/Ophthalmologist
4057557700

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