| NPI | 1730204165 |
|---|---|
| Doing Business As | VISION SOURCE MIDWEST CITY |
| Entity Type | Organization |
| Authorized Contact | COREY CHRISTENSEN Optometrist 405-732-2277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: OK 2413) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2008-05-15 |