Vision Source Altus Pllc

NPI #1770823072 in Altus, Oklahoma

Provider Information

NPI Number: 1770823072
Entity Type: Organization
Organization Name: Vision Source Altus Pllc
Primary Specialty: Optometrist
Enumeration Date: Feb 22, 2013
Last Updated: Jan 3, 2014

Practice Location

Address: 112 VAL VERDE ST
City: Altus
State: Oklahoma
ZIP Code: 73521-1190
Phone: (580) 482-0051

Authorized Official

Name: DR. STEVEN A. GIFFORD, O.D.
Title: OWNER -OPTOMETRIST
Phone: (580) 482-0051

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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