| NPI | 1538305982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY L. BURCHAM Optometrist 405-364-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: OK 152W00000X) |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2009-10-22 |