| NPI | 1083030597 |
|---|---|
| Former Legal Business Name | TRIAD EYE INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | RYAN PATRICK CONLEY Owner 918-252-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2019-06-25 |