| NPI | 1124076823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID REINECKE Owner 918-342-4222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2014-11-04 |