| NPI | 1023199379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA LADAWN WARREN Optometrist/Owner 405-376-5444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OK OK2353) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-10-18 |