Healthcare Provider Details

I. General information

NPI: 1528308392
Provider Name (Legal Business Name): RAMIE LAY, OD PC DBA GROVE EYE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2013
Last Update Date: 03/17/2025
Certification Date: 03/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1013 SOUTH MAIN
GROVE OK
74344
US

IV. Provider business mailing address

PO BOX 450489
GROVE OK
74345
US

V. Phone/Fax

Practice location:
  • Phone: 918-639-7692
  • Fax:
Mailing address:
  • Phone: 918-373-2167
  • Fax: 918-786-3345

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code152WP0200X
TaxonomyPediatric Optometrist
License Number
License Number StateOK
# 3
Primary TaxonomyN
Taxonomy Code152WV0400X
TaxonomyVision Therapy Optometrist
License Number
License Number StateOK

VIII. Authorized Official

Name: RAMIE L.H. BARNES
Title or Position: OWNER/PRESIDENT
Credential: OD
Phone: 918-373-2167