Organization
GLENPOOL EYE CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LEWIS GOSNELL O.D. (SOLE MEMBER)
(918) 291-1222
Entity
Organization
Contact information
Practice address
247 E. 141ST ST., GLENPOOL, OK 74033
(918) 291-1222
Mailing address
247 E. 141ST ST., GLENPOOL, OK 74033
(918) 291-1222
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2217
OK
Other
Enumeration date
12/19/2006
Last updated
06/04/2012
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