BRENT PLAXICO

OWASSO, OK
NPI1922012962
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: OK  2823)
Additional Taxonomies152W00000X Optometrist
(Licence: SC  1412)
Enumeration Date2006-07-27
Last Update Date2016-01-25
Business Address
Dr. BRENT PLAXICO O.D.
12406 E 86TH ST N
OWASSO, OK 74055-2500
Phone number: 918-376-2700
Mailing Address
Dr. BRENT PLAXICO O.D.
12406 E 86TH ST N 5201
OWASSO, OK 74055-2500
Phone number: 918-376-2700
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