Individual
MR. ROBERT RENDELL VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
12406 E 86TH ST N, OWASSO, OK 74055-2500
(918) 376-2700
(918) 376-2722
Mailing address
12406 E 86TH ST N, OWASSO, OK 74055-2500
(918) 376-2700
(918) 376-2722
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1022
OK
Other
Enumeration date
09/11/2006
Last updated
11/19/2012
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