Eye Center Associates SE Oklahoma

NPI #1740453653 in Idabel, Oklahoma

Provider Information

NPI Number: 1740453653
Entity Type: Organization
Organization Name: Eye Center Associates SE Oklahoma
Subpart: Yes (part of a larger organization)
Parent Organization: EYE CENTER ASSOCIATES
Primary Specialty: Ophthalmology
Enumeration Date: Apr 11, 2008
Last Updated: Apr 11, 2008

Practice Location

Address: 1425 E LINCOLN RD
City: Idabel
State: Oklahoma
ZIP Code: 74745-7345
Phone: (580) 286-8288

Authorized Official

Name: PHILIP HAYDEN WHITE, M. D.
Title: CEO
Phone: (903) 885-6531

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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