| NPI | 1023894094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JACKSON Owner / Physician 405-255-4587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2023-09-06 |