Organization
INSTITUTE OPTICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOB L GRAGG OPTCIAN (MANAGER/OWNER)
(918) 742-6933
Entity
Organization
Contact information
Practice address
2000 S WHEELING AVE, 402, TULSA, OK 74104-5641
(918) 742-6933
(918) 742-6916
Mailing address
2000 S WHEELING AVE, 402, TULSA, OK 74104-5641
(918) 742-6933
(918) 742-6916
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
08/10/2006
Last updated
02/20/2008
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