| NPI | 1902083280 |
|---|---|
| Doing Business As | CLINTON VISION SOURCE |
| Entity Type | Organization |
| Authorized Contact | MARSHALL PATRICK DAY Co Owner/Optometrist 580-323-5421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OK 918) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2023-09-27 |