Oklahoma Eye Institute, LLC
Ophthalmology in Wichita Falls, TX. Organization (NPI-2).
NPI number1730611401
StatusActive
Last updated in NPPESMay 9, 2024
Details
- NPI
- 1730611401
- Entity type
- Organization (NPI-2)
- Legal business name
- Oklahoma Eye Institute, LLC
- Organization subpart
- No
- Enumeration date
- Mar 31, 2017
- Certification date
- May 9, 2024
- Last updated
- May 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | 23117 | OK | Yes |
| 152W00000X | Optometrist | 2167 | OK | |
| 152W00000X | Optometrist | 2718 | OK | |
| 152W00000X | Optometrist | 08376T | TX |
Practice location
1901 Kemp BlvdWichita Falls, TX 76309-3959
Phone 580-536-0000
Mailing address
1020 N Main StElk City, OK 73644-2831
Phone 580-225-1555 · Fax 580-225-1558
Authorized official
Kamran Massoumi
Owner/MD
5802251555
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