Organization
PREMIER VISION CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL D OWEN O.D. (OPTOMETRIST)
(918) 915-0606
Entity
Organization
Contact information
Practice address
942 W SHAWNEE ST, MUSKOGEE, OK 74401-3511
(918) 687-0772
(918) 687-0788
Mailing address
942 W SHAWNEE ST, MUSKOGEE, OK 74401-3511
(918) 687-0772
(918) 687-0788
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2745
OK
Other
Enumeration date
06/23/2015
Last updated
07/16/2015
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