| NPI | 1477732782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATYANA VICTORIA MAYER President 580-762-0870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: OK 2343) |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2014-10-13 |