| NPI | 1558769075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH ALAN LATIMER CEO/Owner 405-605-5582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: OK 2307) |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2014-12-16 |