| NPI | 1770852865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRELL J PICKARD Owner 405-636-1508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OK 2684) |
| Additional Taxonomies | 174400000X Specialist (Licence: OK 18401) |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2011-12-20 |