| NPI | 1699236307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY PHILLIPS Director Of Business Affairs 918-893-9240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist |
| Additional Taxonomies | 152W00000X Optometrist |
| 207WX0120X Ophthalmology, Cornea and External Diseases Specialist | |
| 207W00000X Ophthalmology | |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2023-11-27 |