Organization
HERITAGE PARK EYE CARE CENTER
Active
Other names
Vision Source Midwest City
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COREY CHRISTENSEN O.D. (OPTOMETRIST)
(405) 732-2277
Entity
Organization
Contact information
Practice address
2008 S. POST ROAD, MIDWEST CITY, OK 73130
(405) 732-2277
(405) 737-4776
Mailing address
2008 S. POST ROAD, MIDWEST CITY, OK 73130
(405) 732-2277
(405) 737-4776
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
2413
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CS4518
RAILROAD MEDICARE GROUP #
OK
Enumeration date
03/21/2007
Last updated
05/15/2008
Update your record
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