Organization
THOMPSON HOMETOWN EYECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN THOMPSON O,D. (OPTOMETRIST/OWNER)
(918) 557-0563
Entity
Organization
Contact information
Practice address
111 N. BROADWAY, STIGLER, OK 74462
(918) 967-4500
Mailing address
111 N. BROADWAY, STIGLER, OK 74462
(918) 967-4500
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2434
OK
Other
Enumeration date
06/21/2013
Last updated
10/11/2013
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