location
search-icon
institution
Grand Lake Eye Care, Pc
Specialist in Grove, Oklahoma
NPI 1073649844

Grand Lake Eye Care, Pc is a Specialist based in Grove, OK. Grand Lake Eye Care, Pc practices in Grove, OK. The NPI Number for Grand Lake Eye Care, Pc is 1073649844 and holds a License No. 21196 (Oklahoma).

The current practice location address for Grand Lake Eye Care, Pc is 1120 Neo Loop, Grove, OK and can be reached out via phone at 918-787-2020 and via fax at 918-787-6002.

Location: 1120 Neo Loop, Grove, OK, 74345
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073649844
Provider Name
Grand Lake Eye Care, Pc
Credential
Provider Entity Type
Organization
Address
1120 Neo Loop, Grove, OK, 74345
Phone Number
918-787-2020
Fax Number
918-787-6002
Provider Enumeration Date
02/26/2007
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
100138230A 05 OK
180037253 01 OK RAILROAD MEDICARE
200216660A 05 OK
institution
Provider Business Practice Location Address Details
Address
1120 Neo Loop
City
Grove
State
Oklahoma
Zip
74344
Phone Number
918-787-2020
Fax Number
918-787-6002
person
Provider Business Mailing Address Details
Address
1120 Neo Loop
City
Grove
State
Oklahoma
Zip
74344
Phone Number
918-787-2020
Fax Number
918-787-6002
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
21196 (Oklahoma)
Definition
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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.