NPI | 1942493051 |
---|---|
Doing Business As | SPECIALTY VISION CENTER |
Entity Type | Organization |
Authorized Contact | PHILLIP LANE COOK President 918-747-1578 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: OK 814) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: OK 814) |
152WL0500X Optometrist, Low Vision Rehabilitation (Licence: OK 814) | |
Enumeration Date | 2007-08-22 |
Last Update Date | 2015-04-29 |