Idabel Pv LLC

NPI #1538876529 in Idabel, Oklahoma

Provider Information

NPI Number
1538876529
Entity Type
Organization
Organization Name
Idabel Pv LLC
Primary Specialty
Optometrist
Enumeration Date
Oct 31, 2022
Last Updated
Dec 8, 2022

Practice Location

Address
2020 S E WASHINGTON
City
Idabel
ZIP Code
74745
Phone
(903) 329-5051

Authorized Official

Name
KAYLA E GRASSIE
Title
BILLING
Phone
(903) 329-5051

Specialties & Taxonomy Codes

Specialty
Optometrist

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