| NPI | 1407038417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BURNESS R YANDELL President 918-786-9777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OK 970) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: OK 970) |
| 152WX0102X Optometrist, Occupational Vision (Licence: OK 970) | |
| 152WP0200X Optometrist, Pediatrics (Licence: OK 970) | |
| 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: OK 970) | |
| 152WS0006X Optometrist, Sports Vision (Licence: OK 970) | |
| 152WV0400X Optometrist, Vision Therapy (Licence: OK 970) | |
| 152W00000X Optometrist (Licence: OK 2608) | |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: OK 2608) | |
| 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: OK 2608) | |
| 152WX0102X Optometrist, Occupational Vision (Licence: OK 2608) | |
| 152WP0200X Optometrist, Pediatrics (Licence: OK 2608) | |
| 152WS0006X Optometrist, Sports Vision (Licence: OK 2608) | |
| 152WV0400X Optometrist, Vision Therapy (Licence: OK 2608) | |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2011-03-17 |