Organization · NPI-2
Advantage Eyecare, P.C.
Optometrist · Skiatook, OK
NPI number1720116932
StatusActive
Last updated in NPPESSep 16, 2009
Details
- NPI
- 1720116932
- Entity type
- Organization (NPI-2)
- Legal business name
- Advantage Eyecare, P.C.
- Organization subpart
- No
- Enumeration date
- Mar 1, 2007
- Last updated
- Sep 16, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 2211 | OK | Yes |
| 152WC0802X | Optometrist, Corneal and Contact Management | 2211 | OK | |
| 152WP0200X | Optometrist, Pediatrics | 2211 | OK | |
| 152WS0006X | Optometrist, Sports Vision | 2211 | OK | |
| 156FX1201X | Technician/Technologist, Optometric Assistant | 2211 | OK | |
| 156FX1800X | Technician/Technologist, Optician | 2211 | OK |
Practice location
5335 W Rogers BlvdSte B
Skiatook, OK 74070-5284
Phone 918-396-4440 · Fax 918-396-4449
Mailing address
5335 W Rogers BlvdSte B
Skiatook, OK 74070-5284
Phone 918-396-4440 · Fax 918-396-4449
Authorized official
Scott Michael Carlson
President
9183964440
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