| NPI | 1215064308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY MELLISSA JONES Ar Manager 918-585-1523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OK 10268) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OK 1063) |
| 152W00000X Optometrist (Licence: OK 1020) | |
| 152W00000X Optometrist (Licence: OK 2437) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2011-07-26 |