Mid-Del Vision Source Pllc
NPI #1285252213 in Oklahoma City, Oklahoma
Provider Information
- NPI Number
- 1285252213
- Entity Type
- Organization
- Organization Name
- Mid-Del Vision Source Pllc
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MID-DEL VISION SOURCE PLLC
- Primary Specialty
- Optometrist
- Enumeration Date
- Jul 7, 2020
- Last Updated
- Jul 7, 2020
Practice Location
- Address
- 1 NE 2ND ST STE 104
- City
- Oklahoma City
- State
- Oklahoma
- ZIP Code
- 73104-2224
- Phone
- (405) 732-2277
Authorized Official
- Name
- CYNTHIA BACON
- Title
- FINANCE DIRECTOR
- Phone
- (405) 732-2277
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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