| NPI | 1891952453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN POWERS Owner 918-527-5210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OK 2496) |
| Additional Taxonomies | 152WP0200X Optometrist Pediatrics (Licence: OK 2496) |
| 152WV0400X Optometrist Vision Therapy (Licence: OK 2496) | |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2023-12-07 |