Organization
TERRY J HARRISON OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY J HARRISON OD (OPTOMETRIST)
(918) 647-2153
Entity
Organization
Contact information
Practice address
1230 SOUTH BROADWAY, POTEAU, OK 74953-0490
(918) 647-2153
(918) 647-8711
Mailing address
PO BOX 490, POTEAU, OK 74953-0490
(918) 647-2153
(918) 647-8711
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
859
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100762410A
—
OK
Enumeration date
05/22/2007
Last updated
10/30/2008
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