Norman Vision Clinic, PLLC
Optometrist in Moore, OK. Organization (NPI-2).
NPI number1982149969
StatusActive
Last updated in NPPESDec 29, 2016
Details
- NPI
- 1982149969
- Entity type
- Organization (NPI-2)
- Legal business name
- Norman Vision Clinic, PLLC
- Organization subpart
- No
- Enumeration date
- Dec 29, 2016
- Last updated
- Dec 29, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 2098 | OK | Yes |
Other names
- Moore Vision Source (Doing Business As)
Practice location
705 City AveMoore, OK 73160-3819
Phone 405-794-7544 · Fax 405-794-7599
Mailing address
705 City AveMoore, OK 73160-3819
Phone 405-794-7544 · Fax 405-794-7599
Authorized official
Troy A Flax
Partner
40532121255
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