Organization
CROSSROADS VISION CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDEL STERLING HICKS O.D. (OWNER)
(405) 692-2526
Entity
Organization
Contact information
Practice address
3200 SW 89TH ST, OKLAHOMA CITY, OK 73159-7902
(405) 692-2526
(405) 692-2187
Mailing address
3200 SW 89TH ST, OKLAHOMA CITY, OK 73159-7902
(405) 692-2526
(405) 692-2187
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
923
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100761420B
—
OK
Enumeration date
06/13/2012
Last updated
06/13/2012
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