| NPI | 1043216617 |
|---|---|
| Former Legal Business Name | TRIAD EYE MEDICAL CLINIC AND CATARACT INSTITUTE PLLC |
| Former Legal Business Name | TRIAD EYE INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | RYAN PATRICK CONLEY Owner/Manager 918-687-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OK 0061) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2019-06-26 |