| NPI | 1114139680 |
|---|---|
| Doing Business As | LEADERSHIP SQUARE EYECARE |
| Entity Type | Organization |
| Authorized Contact | TAMI RA ROSS President 405-232-0877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OK 2025) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2010-03-12 |