| NPI | 1508055963 |
|---|---|
| Other Name | VISION SOURCE TULSA |
| Entity Type | Organization |
| Authorized Contact | TERRY LARMON LAWSON Manager 918-742-2055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OK 1165) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: OK 1165) |
| 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: OK 1165) | |
| 152WX0102X Optometrist, Occupational Vision (Licence: OK 1165) | |
| 152WP0200X Optometrist, Pediatrics (Licence: OK 1165) | |
| 152WS0006X Optometrist, Sports Vision (Licence: OK 1165) | |
| 152WV0400X Optometrist, Vision Therapy (Licence: OK 1165) | |
| 152W00000X Optometrist (Licence: OK 1167) | |
| 152W00000X Optometrist (Licence: OK 2381) | |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: OK 2381) | |
| 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: OK 2381) | |
| 152WX0102X Optometrist, Occupational Vision (Licence: OK 2381) | |
| 152WP0200X Optometrist, Pediatrics (Licence: OK 2381) | |
| 152WS0006X Optometrist, Sports Vision (Licence: OK 2381) | |
| 152WV0400X Optometrist, Vision Therapy (Licence: OK 2381) | |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2009-05-05 |