Envision Medical & Surgical Eye Care PC
NPI #1811348766 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1811348766
- Entity Type
- Organization
- Organization Name
- Envision Medical & Surgical Eye Care PC
- Primary Specialty
- Ophthalmology
- Enumeration Date
- Jun 22, 2016
- Last Updated
- Jun 22, 2016
Practice Location
- Address
- 4926 W KENOSHA ST
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-8517
- Phone
- (918) 605-7456
Authorized Official
- Name
- DR. MIRANDA KIRSTEN RENFROW, D.O.
- Title
- PRESIDENT
- Phone
- (918) 605-7456
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ophthalmology |
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