Gore Eye Clinic Pllc

NPI #1053542142 in Gore, Oklahoma

Provider Information

NPI Number: 1053542142
Entity Type: Organization
Organization Name: Gore Eye Clinic Pllc
Primary Specialty: Clinic/Center
Enumeration Date: Aug 6, 2009
Last Updated: Jan 7, 2011

Practice Location

Address: 202 N MAIN
City: Gore
State: Oklahoma
ZIP Code: 74435
Phone: (918) 489-2512

Authorized Official

Name: DR. JONI SUE RUSSELL, OD
Title: OPTOMETRIST
Phone: (918) 489-2512

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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