NPI | 1851479737 |
---|---|
Former Legal Business Name | JOHN HAWKINS OD INC |
Entity Type | Organization |
Authorized Contact | DAVID C JONES President 580-256-7755 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2016-06-23 |