| NPI | 1215401146 |
|---|---|
| Doing Business As | JENKS VISION CENTER |
| Entity Type | Organization |
| Authorized Contact | KYLE TATE Owner/Doctor 918-296-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2019-01-14 |