| NPI | 1982940508 |
|---|---|
| Doing Business As | VISION SOURCE MIDWEST CITY |
| Entity Type | Organization |
| Authorized Contact | MICHELLE STRICKLIN Asst. Director Of Operations 405-732-2277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Enumeration Date | 2012-12-31 |
| Last Update Date | 2014-01-10 |