Organization
NORTHWEST OPTICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID EUGENE KORBER M.D. (OWNER)
(405) 946-9830
Entity
Organization
Contact information
Practice address
5320 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2098
(405) 947-3330
(405) 947-3494
Mailing address
5320 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2098
(405) 946-9830
(405) 947-3494
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
20179
OK
Other
Enumeration date
03/26/2007
Last updated
07/10/2008
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