| NPI | 1639329071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN D O'DONNELL President 405-379-3610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OK 2576) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: OK 2576) |
| 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: OK 2576) | |
| 152WP0200X Optometrist, Pediatrics (Licence: OK 2576) | |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2009-06-29 |