Southern Oklahoma Eye Center, LLC

NPI #1699818864 in Wynnewood, Oklahoma

Provider Information

NPI Number: 1699818864
Entity Type: Organization
Organization Name: Southern Oklahoma Eye Center, LLC
Primary Specialty: Optometrist
Enumeration Date: Feb 15, 2007
Last Updated: May 1, 2013

Practice Location

Address: 212 S DEAN A MCGEE AVE
City: Wynnewood
State: Oklahoma
ZIP Code: 73098-7810
Phone: (405) 665-5685

Authorized Official

Name: DR. EVAN LEE BRAGG, O.D.
Title: SR MANAGER
Phone: (405) 665-5685

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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