| NPI | 1831655570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRISA JO DRAKE Owner 806-218-1538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WV0400X Optometrist Vision Therapy |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management |
| 152WP0200X Optometrist Pediatrics | |
| 152WS0006X Optometrist Sports Vision | |
| 152WX0102X Optometrist Occupational Vision | |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2019-02-19 |