Organization
VISION SOURCE ALTUS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN A. GIFFORD O.D. (OWNER -OPTOMETRIST)
(580) 482-0051
Entity
Organization
Contact information
Practice address
112 VAL VERDE ST, ALTUS, OK 73521-1190
(580) 482-0051
(580) 482-7746
Mailing address
112 VAL VERDE ST STE C, ALTUS, OK 73521-1190
(580) 482-0051
(580) 482-7746
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
02/22/2013
Last updated
01/03/2014
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