Glaucoma & Laser Surgery Assoc Inc.

NPI #1013114206 in Ok, Oklahoma

Provider Information

NPI Number: 1013114206
Entity Type: Organization
Organization Name: Glaucoma & Laser Surgery Assoc Inc.
Primary Specialty: Ophthalmology
Enumeration Date: Jun 29, 2007
Last Updated: Mar 30, 2010

Practice Location

Address: 3435 NW 56TH
Address 2: #1010A
City: Ok
State: Oklahoma
ZIP Code: 73112
Phone: (405) 945-4747

Authorized Official

Name: JAMES B WISE, MD
Title: OWNER
Phone: (405) 945-9747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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