Pediatric Ophthalmology, Inc

NPI 1053423947 - Eyewear Supplier (Equipment, not the service) - 332H00000X

NPI Details
NPI 1053423947
Enumeration Date 08/31/2006
Last Updated 06/07/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name GARY THANE GARY
Position PRESIDENT
Phone (918) 481-2738
Fax (918) 481-2785
Practice Location
4606 E 67TH ST
SUITE 400
TULSA OK, 74136-4943, US
Phone (918) 481-2738
Fax (918) 481-2785
Business Location
4606 E 67TH ST
SUITE 400
TULSA OK, 74136-4943, US
Phone (918) 481-2738
Fax (918) 481-2785
Toxanomy
Taxonomy Code 332H00000X
License State Oklahoma
License Number 038654
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According to our database, Pediatric Ophthalmology, Inc NPI is 1053423947, taxonomy code is 332H00000X and license number is 038654, license state is located at Oklahoma. Pediatric Ophthalmology, Inc physically located at 4606 E 67th St, Tulsa OK, 74136-4943. NPI Number 1033115704 has the healthcare provider type.

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1053423947 NPI number is provided on an as is basis without warranty of any kind. 1053423947 is maintained by the National Plan & Provider Enumeration System. The contents of Pediatric Ophthalmology, Inc are for informational purposes only.