| NPI | 1548330053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP A. WALKER President 405-751-5638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OK 852) |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management (Licence: OK 852) |
| 152WS0006X Optometrist Sports Vision (Licence: OK 852) | |
| 152WV0400X Optometrist Vision Therapy (Licence: OK 852) | |
| 152WX0102X Optometrist Occupational Vision (Licence: OK 852) | |
| 156FC0800X Technician/Technologist Contact Lens (Licence: OK 852) | |
| 156FC0801X Technician/Technologist Contact Lens Fitter (Licence: OK 852) | |
| 156FX1800X Technician/Technologist Optician (Licence: OK 852) | |
| 332H00000X Eyewear Supplier (Licence: OK 852) | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2010-07-06 |