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Organization

VISTA EYECARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALFONSO HERNANDEZ OD (CEO)
(918) 270-4410
Entity
Organization

Contact information

Practice address
9720 E 31ST ST, TULSA, OK 74146-1206
(918) 270-4410
Mailing address
9720 E 31ST ST, TULSA, OK 74146-1206
(918) 270-4410

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1205314572
OK
Enumeration date
08/07/2019
Last updated
08/07/2019
About Stedi
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  • EDI platform