| NPI | 1306034830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L PECK O PT Ometrist 580-242-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OK 1058) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: OK 1058) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2008-08-26 |