NPI | 1093743213 |
---|---|
Former Legal Business Name | TRIAD EYE MEDICAL CLINIC & CATARACT INSTITUTE CO INC |
Entity Type | Organization |
Authorized Contact | RYAN P CONLEY Owner 918-252-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: OK 731288036) |
Additional Taxonomies | 152W00000X Optometrist (Licence: OK 731288036) |
Enumeration Date | 2006-06-28 |
Last Update Date | 2022-07-18 |