NPI | 1154500890 |
---|---|
Former Legal Business Name | WEATHERFORD EYECARE CENTER, PLLC |
Entity Type | Organization |
Authorized Contact | JIMMY D SMART Owner 580-772-2819 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OK 1046) |
Additional Taxonomies | 152W00000X Optometrist |
Enumeration Date | 2007-10-30 |
Last Update Date | 2025-10-08 |