Pediatric Ophthalmology, PC

NPI #1053423947 in Tulsa, Oklahoma

Provider Information

NPI Number
1053423947
Entity Type
Organization
Organization Name
Pediatric Ophthalmology, PC
Primary Specialty
Eyewear Supplier
Enumeration Date
Aug 31, 2006
Last Updated
Jan 23, 2020

Practice Location

Address
4606 E 67TH ST
Address 2
SUITE 400
City
Tulsa
ZIP Code
74136-4943
Phone
(918) 481-2738

Authorized Official

Name
DR. GARY THANE DENSLOW, MD
Title
PRESIDENT
Phone
(918) 949-9898

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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