| NPI | 1750475760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN M FORD Practice Administrator 918-250-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OK 4088) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OK 2147) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2013-04-09 |