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Organization

MID-DEL VISION SOURCE PLLC

Active
Parent organization
MID-DEL VISION SOURCE PLLC
Other names
Vision Source Del City
Organization subpart
Yes

Provider details

NPI number
Legal business name
MID-DEL VISION SOURCE PLLC
Authorized official
MICHELLE STRICKLIN (ASSISTANT DIRECTOR OF OPERATIONS)
(405) 732-2277
Entity
Organization

Contact information

Practice address
5113 SE 15TH ST, SUITE A, DEL CITY, OK 73115-3952
(405) 677-8831
Mailing address
5113 SE 15TH ST, SUITE A, DEL CITY, OK 73115-3952
(405) 677-8831

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
04/21/2013
Last updated
06/12/2014
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