| NPI | 1285252213 |
|---|---|
| Doing Business As | THE OCULIST BY VISION SOURCE |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA BACON Finance Director 405-732-2277 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2020-07-07 |