| NPI | 1669509683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANETTE L GUNTER Office Manager 918-455-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OK 909) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: OK 909) |
| 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: OK 909) | |
| 152WP0200X Optometrist, Pediatrics (Licence: OK 909) | |
| 152WS0006X Optometrist, Sports Vision (Licence: OK 909) | |
| 152WX0102X Optometrist, Occupational Vision (Licence: OK 909) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2024-01-02 |