| NPI | 1710094149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY WILLIAM GRISHAM President 918-333-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center Ophthalmologic Surgery (Licence: OK 0039) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2008-08-28 |