| NPI | 1871195321 |
|---|---|
| Doing Business As | THUNDER CITY EYE CARE |
| Entity Type | Organization |
| Authorized Contact | CARISSA BEAUDREAU Owner 405-832-5117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2021-01-13 |