Eye Care Specialists of Oklahoma Pllc

NPI #1427556166 in Edmond, Oklahoma

Provider Information

NPI Number: 1427556166
Entity Type: Organization
Organization Name: Eye Care Specialists of Oklahoma Pllc
Primary Specialty: Ophthalmology
Enumeration Date: Jan 29, 2018
Last Updated: Apr 21, 2020

Practice Location

Address: 3431 S BOULEVARD STE 105
City: Edmond
State: Oklahoma
ZIP Code: 73013
Phone: (405) 562-2036

Authorized Official

Name: JARED R JACKSON, MD
Title: PROVIDER
Phone: (405) 771-0880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Medical Specialty — Medical Specialty	261QM2500X
Clinic/Center - Ophthalmologic Surgery — Ophthalmologic Surgery	261QS0132X
Ophthalmology	207W00000X	Primary

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