OrganizationActive
Advanced Optical LLC
NPI 1457570566 · Durable Medical Equipment & Medical Supplies · Oklahoma City, OK
Provider details
- NPI number
- 1457570566
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Authorized official
- Michael Lewis, Office Manager
- License
- 17979 (OK)
Practice location
11308 N Pennsylvania Ave
Oklahoma City, OK 73120-7752
Phone: (405) 755-7700
Fax: (405) 755-7739
Mailing address
11308 N Pennsylvania Ave
Oklahoma City, OK 73120-7752
Registry dates
- Enumerated
- 2007-04-25
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.