Blake Bush Family Eyecare Inc.

NPI #1043573470 in Ardmore, Oklahoma

Provider Information

NPI Number: 1043573470
Entity Type: Organization
Organization Name: Blake Bush Family Eyecare Inc.
Primary Specialty: Optometrist
Enumeration Date: Jun 20, 2012
Last Updated: Feb 6, 2015

Practice Location

Address: 908 N ROCKFORD RD
Address 2: SUITE E
City: Ardmore
State: Oklahoma
ZIP Code: 73401-2540
Phone: (580) 223-7333

Authorized Official

Name: DR. BLAKE ROBERT BUSH, O.D.
Title: OWNER
Phone: (580) 223-7333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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