William R Homan

NPI #1609054303 in Wagoner, Oklahoma

Provider Information

NPI Number: 1609054303
Entity Type: Organization
Organization Name: William R Homan
Primary Specialty: Optometrist
Enumeration Date: Feb 5, 2008
Last Updated: Oct 19, 2012

Practice Location

Address: 709 E CHEROKEE ST
City: Wagoner
State: Oklahoma
ZIP Code: 74467-4713
Phone: (918) 485-9110

Authorized Official

Name: WILLIAM R HOMAN, O.D.
Title: OWNER
Phone: (918) 485-9110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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