Lakeside Eyecare LLC

NPI #1659123081 in Oologah, Oklahoma

Provider Information

NPI Number: 1659123081
Entity Type: Organization
Organization Name: Lakeside Eyecare LLC
Primary Specialty: Optometrist
Enumeration Date: Apr 1, 2024
Last Updated: Apr 25, 2024

Practice Location

Address: 485 S ELM ST
City: Oologah
State: Oklahoma
ZIP Code: 74053-3017
Phone: (918) 671-5262

Authorized Official

Name: DR. MONTE HARREL, OD
Title: PRESIDENT
Phone: (918) 671-5262

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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