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