Great Plains Vision Center

NPI #1194017020 in Woodward, Oklahoma

Provider Information

NPI Number: 1194017020
Entity Type: Organization
Organization Name: Great Plains Vision Center
Primary Specialty: Optometrist
Enumeration Date: May 11, 2011
Last Updated: Sep 21, 2012

Practice Location

Address: 1418 MAIN ST
City: Woodward
State: Oklahoma
ZIP Code: 73801-3004
Phone: (580) 256-6699

Authorized Official

Name: JACOBY J DEWALD, OD
Title: OPTOMETRIST / OWNER
Phone: (580) 256-6699

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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