Organization
ENVISION MEDICAL & SURGICAL EYE CARE, PC
Active
Organization
ENVISION MEDICAL & SURGICAL EYE CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MIRANDA RENFROW DO (DO)
(918) 421-6656
Entity
Organization
Contact information
Practice address
4 E CLARK BASS BLVD, SUITE 204, MCALESTER, OK 74501-4269
(918) 421-6656
(918) 421-6659
Mailing address
4 E CLARK BASS BLVD, SUITE 204, MCALESTER, OK 74501-4269
(918) 421-6656
(918) 421-6659
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4949
OK
Other
Enumeration date
09/15/2010
Last updated
01/22/2013
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