| NPI | 1386419877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDY STEVENSON CFO 405-615-6698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 152WL0500X Optometrist Low Vision Rehabilitation |
| 152WV0400X Optometrist Vision Therapy | |
| 224ZL0004X Occupational Therapy Assistant Low Vision | |
| 2255R0406X Specialist/Technologist Rehabilitation, Blind | |
| 225CA2400X Rehabilitation Counselor Assistive Technology Practitioner | |
| 225CX0006X Rehabilitation Counselor Orientation and Mobility Training Provider | |
| Enumeration Date | 2023-11-15 |
| Last Update Date | 2023-11-21 |