| NPI | 1013422401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY PATRICK YOUNG Doctor / Owner 405-728-3393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OK 2117) |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management (Licence: OK 2117) |
| 152WS0006X Optometrist Sports Vision (Licence: OK 2117) | |
| 152WX0102X Optometrist Occupational Vision (Licence: OK 2117) | |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2018-06-16 |