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 |