| NPI | 1598989543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONTE ELVIN HARRRELL CEO 918-745-9662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OK 2304) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OK 2510) |
| 152W00000X Optometrist (Licence: OK 2573) | |
| 152W00000X Optometrist (Licence: OK 2336) | |
| 152WC0802X Optometrist Corneal and Contact Management (Licence: OK 2336) | |
| 152WP0200X Optometrist Pediatrics (Licence: OK 2304) | |
| 152WV0400X Optometrist Vision Therapy (Licence: OK 2304) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2011-03-09 |