NPI | 1750480513 |
---|---|
Entity Type | Organization |
Authorized Contact | TODD EARL WRIGHT President/Optometrist 405-359-8444 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: OK 1187) |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: OK 1187) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2009-04-13 |