| NPI | 1801924519 |
|---|---|
| Doing Business As | ADVANTAGE EYECARE |
| Entity Type | Organization |
| Authorized Contact | KRISTIE CARLSON Practice Administrator 580-233-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OK 2211) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: OK 2211) |
| 152WP0200X Optometrist, Pediatrics (Licence: OK 2211) | |
| 152WS0006X Optometrist, Sports Vision (Licence: OK 2211) | |
| 156FX1201X Technician/Technologist, Optometric Assistant (Licence: OK 2211) | |
| 156FX1800X Technician/Technologist, Optician (Licence: OK 2211) | |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2018-02-06 |