Premier Eyecare of Edmond Pllc

NPI #1295930410 in Edmond, Oklahoma

Provider Information

NPI Number: 1295930410
Entity Type: Organization
Organization Name: Premier Eyecare of Edmond Pllc
Primary Specialty: Optometrist
Enumeration Date: Jun 18, 2007
Last Updated: Oct 2, 2012

Practice Location

Address: 2841 NW 173RD STREET
City: Edmond
State: Oklahoma
ZIP Code: 73003
Phone: (405) 513-8150

Authorized Official

Name: DR. AMBER MAYES, O.D.
Title: OPTOMETRIST
Phone: (405) 513-8150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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