NPI | 1568599496 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK ARLEN MANAHAN Optometric Physician Owner 918-245-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: OK 962) |
Enumeration Date | 2007-02-27 |
Last Update Date | 2011-03-29 |