| NPI | 1881872760 |
|---|---|
| Doing Business As | PONCA CITY EYE CLINIC |
| Entity Type | Organization |
| Authorized Contact | PAMELA J POLAND Owner 580-762-5696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: OK 17919) |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2013-03-13 |