| NPI | 1972955367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN M FORD-LEE Practice Admin 918-810-9096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OK 2074) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OK 2847) |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2017-03-28 |