| NPI | 1033438197 |
|---|---|
| Former Legal Business Name | KEN MERCHANT, O.D. |
| Entity Type | Organization |
| Authorized Contact | KENNETH JAMES MERCHANT Owner/ Optometrist 918-622-6244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OK 2074) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2021-10-21 |