Organization
GLAUCOMA & LASER SURGERY ASSOC INC.
Active
Organization
GLAUCOMA & LASER SURGERY ASSOC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES B WISE MD (OWNER)
(405) 945-9747
Entity
Organization
Contact information
Practice address
3435 NW 56TH, #1010A, OK, OK 73112
(405) 945-4747
(405) 945-4748
Mailing address
3435 NW 56TH, #1010A, OK, OK 73112
(405) 945-4747
(405) 945-4748
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
06/29/2007
Last updated
03/30/2010
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