Mid-Del Vision Source Pllc

NPI #1578907598 in Del City, Oklahoma

Provider Information

NPI Number: 1578907598
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: Eyewear Supplier
Enumeration Date: Apr 21, 2013
Last Updated: Jun 12, 2014

Practice Location

Address: 5113 SE 15TH ST
Address 2: SUITE A
City: Del City
State: Oklahoma
ZIP Code: 73115-3952
Phone: (405) 677-8831

Authorized Official

Name: MICHELLE STRICKLIN
Title: ASSISTANT DIRECTOR OF OPERATIONS
Phone: (405) 732-2277

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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