| NPI | 1730611401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMRAN MASSOUMI Owner/Md 580-225-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OK 23117) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OK 2167) |
| 152W00000X Optometrist (Licence: OK 2718) | |
| 152W00000X Optometrist (Licence: TX 08376T) | |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2024-05-09 |