NPI | 1033244033 |
---|---|
Other Name | VISION SOURCE |
Entity Type | Organization |
Authorized Contact | SAMUEL CURTIS OLIPHANT President 405-751-7727 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: OK 898) |
Enumeration Date | 2007-02-22 |
Last Update Date | 2010-07-01 |