NPI | 1649667775 |
---|---|
Entity Type | Organization |
Authorized Contact | HARRY R. KING Owner 918-872-6161 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: OK 2339) |
Additional Taxonomies | 152W00000X Optometrist (Licence: OK 2650) |
Enumeration Date | 2015-04-15 |
Last Update Date | 2015-04-15 |