Organization
ALLIANCE VISION SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES BARTHOLOMEW RAUPE O.D. (OWNER)
(918) 815-6703
Entity
Organization
Contact information
Practice address
2816 W IMPERIAL ST, BROKEN ARROW, OK 74011-6461
(918) 815-6703
Mailing address
2816 W IMPERIAL ST, BROKEN ARROW, OK 74011-6461
(918) 815-6703
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2707
OK
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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