| NPI | 1437184181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY MARIE WISE Physician/Owner 405-329-5613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OK 19103) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-08-22 |