Ada Vision Source

NPI #1972702983 in Ada, Oklahoma

Provider Information

NPI Number: 1972702983
Entity Type: Organization
Organization Name: Ada Vision Source
Primary Specialty: Optometrist
Enumeration Date: Jul 11, 2007
Last Updated: Jun 21, 2018

Practice Location

Address: 700 E MAIN ST
City: Ada
State: Oklahoma
ZIP Code: 74820-5614
Phone: (580) 332-3936

Authorized Official

Name: MR. JAMES KEVIN CUNNINGHAM, O.D.
Title: OWNER
Phone: (580) 332-3936

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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