Organization
LINDSAY VISION CENTER, PLLC
Active
Other names
Mike Boeckman, O.D., PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL WAYNE BOECKMAN OD (PRESIDENT)
(405) 756-4414
Entity
Organization
Contact information
Practice address
301 S MAIN ST, LINDSAY, OK 73052-5635
(405) 756-4414
(405) 756-4415
Mailing address
301 S MAIN ST, LINDSAY, OK 73052-5635
(405) 756-4414
(405) 756-4415
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OK 1041
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100761590A
—
OK
Enumeration date
04/16/2007
Last updated
05/02/2016
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