Hero Vision of Utica, LLC

NPI #1184184129 in Tulsa, Oklahoma

Provider Information

NPI Number: 1184184129
Entity Type: Organization
Organization Name: Hero Vision of Utica, LLC
Primary Specialty: Optometrist
Enumeration Date: Mar 25, 2019
Last Updated: Sep 19, 2019

Practice Location

Address: 602 S UTICA AVE
City: Tulsa
State: Oklahoma
ZIP Code: 74104-2641
Phone: (918) 585-3744

Authorized Official

Name: CHARLOTTE SOUDER
Title: CREDENTIALING MANAGER
Phone: (719) 576-1850

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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