Organization
HERO VISION OF UTICA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE SOUDER (CREDENTIALING MANAGER)
(719) 576-1850
Entity
Organization
Contact information
Practice address
602 S UTICA AVE, TULSA, OK 74104-2641
(918) 585-3744
(719) 955-3470
Mailing address
2221 E BIJOU ST STE 100, COLORADO SPRINGS, CO 80909-8009
(719) 570-1850
(719) 955-3470
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
03/25/2019
Last updated
09/19/2019
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