Organization
QUAIL SPRINGS OPTICAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE MARIE KISH O.D. (OPTOMETRIST)
(405) 755-0620
Entity
Organization
Contact information
Practice address
2501 W MEMORIAL RD, SUITE 132A, OKLAHOMA CITY, OK 73134-8039
(405) 755-0620
(405) 755-0734
Mailing address
2501 W MEMORIAL RD, SUITE 132A, OKLAHOMA CITY, OK 73134-8039
(405) 755-0620
(405) 755-0734
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2255
OK
Other
Enumeration date
03/13/2007
Last updated
05/20/2010
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