| NPI | 1811284946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDEEP N. SHAH Founding Manager 405-607-6699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology Retina Specialist |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2011-07-10 |
| Last Update Date | 2024-02-19 |