MBR Eye LLC

Optometrist · Wagoner, OK

Organization Active NPI

NPI number 1881232593

Practice location

1108 W Cherokee St
Wagoner, OK 74467-4622
Phone
(918) 279-8830

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NPI record

NPI
1881232593
Entity type
Organization (Type 2)
Enumeration date
December 12, 2019
Last updated
December 13, 2019
Certified
December 13, 2019
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X — —

Mailing address

10557 E Highway 51
Broken Arrow, OK 74014-2308
Phone
(918) 279-8830

Authorized official

Name
Dr. Jeffry Ross, OD
Title
Owner
Phone
(918) 279-8830

Other names

  • AFEC Wagoner

About MBR Eye LLC

MBR Eye LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 1108 W Cherokee St, Wagoner, OK 74467-4622. The NPI number 1881232593 was assigned on December 12, 2019 and the record was last updated on December 13, 2019.

The authorized official for this organization is Dr. Jeffry Ross, OD, Owner.

Frequently asked questions

What is the NPI number of MBR Eye LLC?

The NPI number is 1881232593.

What is the phone number of MBR Eye LLC?

The phone number listed for the practice location is (918) 279-8830.

Where is MBR Eye LLC located?

1108 W Cherokee St, Wagoner, OK 74467-4622.

What is the taxonomy code for MBR Eye LLC?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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