Basic Information
| Provider Information | |||||||||
| NPI: | 1821737347 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | EYE CARE NOW, PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1851 S. KELLY AVE | ||||||||
| Address2: | SUITE B | ||||||||
| City: | EDMOND | ||||||||
| State: | OK | ||||||||
| PostalCode: | 73013 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4053732273 | ||||||||
| FaxNumber: | 4056076685 | ||||||||
| Practice Location | |||||||||
| Address1: | 1851 S. KELLY AVE | ||||||||
| Address2: | SUITE B | ||||||||
| City: | EDMOND | ||||||||
| State: | OK | ||||||||
| PostalCode: | 73013 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4053932273 | ||||||||
| FaxNumber: | 4059071851 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/02/2022 | ||||||||
| LastUpdateDate: | 08/26/2022 | ||||||||
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| AuthorizedOfficialLastName: | SHAH | ||||||||
| AuthorizedOfficialFirstName: | SANDEEP | ||||||||
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| AuthorizedOfficialTitleorPosition: | MEMBER | ||||||||
| AuthorizedOfficialTelephone: | 4053732273 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
| NPICertificationDate: | 08/05/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 152W00000X | N | 193200000X MULTI-SPECIALTY GROUP | Eye and Vision Services Providers | Optometrist | 261QU0200X | Y | Ambulatory Health Care Facilities | Clinic/Center | Urgent Care |
No ID Information.