| NPI | 1639468515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES PAUL BOGIE President/Owner 405-945-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OK 20772) |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2011-03-31 |