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Organization

RURAL VISION ALLIANCE LLC

Active
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Organization

RURAL VISION ALLIANCE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MINDY STEVENSON (CFO)
(405) 615-6698
Entity
Organization

Contact information

Practice address
4301 N CLASSEN BLVD, OKLAHOMA CITY, OK 73118-5031
(405) 604-3408
Mailing address
4301 N CLASSEN BLVD, OKLAHOMA CITY, OK 73118-5031
(405) 604-3408

Taxonomy

Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
152WV0400X
Vision Therapy Optometrist
224ZL0004X
Low Vision Occupational Therapy Assistant
2255R0406X
Blind Rehabilitation Specialist/Technologist
225CA2400X
Assistive Technology Practitioner Rehabilitation Counselor
225CX0006X
Orientation and Mobility Training Rehabilitation Counselor
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
11/15/2023
Last updated
11/21/2023
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