| NPI | 1821737347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDEEP SHAH Member 405-373-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2022-08-26 |