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Organization

TERRY L LAWSON MS OD PLLC

Active
Other names
VISION SOURCE TULSA
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TERRY LARMON LAWSON O.D. (MANAGER)
(918) 742-2055
Entity
Organization

Contact information

Practice address
9102 S TOLEDO AVE, SUITE A, TULSA, OK 74137-2706
(918) 742-2055
Mailing address
9102 S TOLEDO AVE, SUITE A, TULSA, OK 74137-2706
(918) 742-2055

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1165
OK
152W00000X
Optometrist
1167
OK
152W00000X
Optometrist
2381
OK
152WC0802X
Corneal and Contact Management Optometrist
1165
OK
152WC0802X
Corneal and Contact Management Optometrist
2381
OK
152WL0500X
Low Vision Rehabilitation Optometrist
1165
OK
152WL0500X
Low Vision Rehabilitation Optometrist
2381
OK
152WP0200X
Pediatric Optometrist
1165
OK
152WP0200X
Pediatric Optometrist
2381
OK
152WS0006X
Sports Vision Optometrist
1165
OK
152WS0006X
Sports Vision Optometrist
2381
OK
152WV0400X
Vision Therapy Optometrist
1165
OK
152WV0400X
Vision Therapy Optometrist
2381
OK
152WX0102X
Occupational Vision Optometrist
1165
OK
152WX0102X
Occupational Vision Optometrist
2381
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200222360A
OK
Enumeration date
10/22/2007
Last updated
05/05/2009
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