| NPI | 1619176310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS G GITTINS O PT Ometrist/Owner 405-773-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OK 2242) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2021-06-03 |