Organization
DR KING OPTOMETRIST PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARRY R. KING O.D. (OWNER)
(918) 872-6161
Entity
Organization
Contact information
Practice address
3505 W KENOSHA ST, BROKEN ARROW, OK 74012-8948
(918) 872-6161
(918) 872-6164
Mailing address
3505 W KENOSHA ST, BROKEN ARROW, OK 74012-8948
(918) 872-6161
(918) 872-6164
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2339
OK
152W00000X
Optometrist
2650
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200124070A
—
OK
Enumeration date
04/15/2015
Last updated
04/15/2015
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