PRECISION VISION SURGERY CENTER LLC NPI 1275802183

NPI Information

  • NPI: 1275802183
  • Provider Name: PRECISION VISION SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 37D2270892
  • Address: 6922 S WESTERN AVE
    SUITE 102
    OKLAHOMA CITY, OK
    ZIP 73139
  • Phone: (405) 636-1508

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NPI Details

PRECISION VISION SURGERY CENTER, LLC is an ambulatory surgical clinic center in Oklahoma City, OK. PRECISION VISION SURGERY CENTER, LLC NPI is 1275802183. The provider is registered as an organization entity type.

The provider's business location address is:

6922 S WESTERN AVE
SUITE 102
OKLAHOMA CITY, OK
ZIP 73139-803
Phone: (405) 636-1508
Fax: (405) 636-1239

The provider's authorized official is Darrell J Pickard .
The authorized official title is Medical Director and has the following contact phone number (405) 636-1508.

The CLIA number assigned to this NPI record is 37D2270892 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/21/2011 and was last updated on 12/21/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical0019OKLAHOMAYes

What is NPI?

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This page was last updated on: 3/30/2025

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