Lj Greenhaw

NPI #1841459484 in Okc, Oklahoma

Provider Information

NPI Number: 1841459484
Entity Type: Organization
Organization Name: Lj Greenhaw
Primary Specialty: Optometrist
Enumeration Date: Jun 9, 2008
Last Updated: Jun 9, 2008

Practice Location

Address: 2501 W MEMORIAL RD
Address 2: STE 259A
City: Okc
State: Oklahoma
ZIP Code: 73134-8039
Phone: (405) 749-0220

Authorized Official

Name: LARRY J GREENHAW, OD
Title: OWNER
Phone: (405) 749-0220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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