Individual
DR. JO PONGSATIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5350 E 31ST ST STE 302, TULSA, OK 74135-5008
(918) 933-4075
(918) 779-7794
Mailing address
5350 E 31ST ST STE 300, TULSA, OK 74135-5011
(918) 933-4075
(918) 779-7794
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2864
OK
Other
Enumeration date
08/05/2015
Last updated
07/14/2021
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