Advanced Optical LLC

Organization Active NPI Durable Medical Equipment & Medical Supplies · Oklahoma City, OK

NPI 1457570566 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1457570566
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
License
17979 (OK)
Legal business name
ADVANCED OPTICAL LLC
Practice address
11308 N Pennsylvania Ave
Oklahoma City, OK 73120-7752
Phone
(405) 755-7700
Fax
(405) 755-7739
NPI assigned
Apr 25, 2007
Organization subpart
No

Authorized official

Name
Mr. Michael Lewis
Title
Office Manager
Phone
(405) 755-7700

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 17979 OK Yes

Addresses

Primary practice location

11308 N Pennsylvania Ave
Oklahoma City, OK 73120-7752

Mailing address

11308 N Pennsylvania Ave
Oklahoma City, OK 73120-7752
Phone (405) 755-7700

Other providers in Oklahoma City, OK

All providers in Oklahoma City, OK · Durable Medical Equipment & Medical Supplies in Oklahoma

Sources for this page

Verify at the official NPI Registry.