Organization
LEGACY EYE CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE HENDERSON OD (OPTOMETRIST)
(918) 207-6276
Entity
Organization
Contact information
Practice address
1207 CORNWELL DR, YUKON, OK 73099-4633
(405) 354-3384
Mailing address
10001 ABERDEEN LN, YUKON, OK 73099-7644
(918) 207-6276
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/24/2020
Last updated
07/24/2020
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