| NPI | 1336894120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILYA SLUCH Owner 405-762-0077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist |
| Enumeration Date | 2022-02-20 |
| Last Update Date | 2022-02-20 |