Seniorvision Of Oklahoma LLC
Optometrist in Broken Arrow, OK. Organization (NPI-2).
NPI number1861968992
StatusActive
Last updated in NPPESJun 11, 2019
Details
- NPI
- 1861968992
- Entity type
- Organization (NPI-2)
- Legal business name
- Seniorvision Of Oklahoma LLC
- Organization subpart
- No
- Enumeration date
- Oct 16, 2018
- Last updated
- Jun 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Practice location
10107 S Garnett RdBroken Arrow, OK 74011-1118
Phone 918-252-0590 · Fax 918-252-0591
Mailing address
11063d S Memorial Dr # 515Tulsa, OK 74133-7362
Phone 918-298-4969 · Fax 918-298-4594
Authorized official
Nancy Kolker
Vice President
9182984969
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