| NPI | 1154441848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDACE Y. STEWART Od Owner 918-687-4459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2010-02-18 |