| NPI | 1730498890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DALE HEAD Owner/O PT Ometrist 580-355-1298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OK 1049) |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2010-10-06 |