Individual
LOUIS SCOTT SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
701 S BROADWAY, EDMOND, OK 73034-3936
(405) 341-7055
Mailing address
701 S BROADWAY, EDMOND, OK 73034-3936
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2953
OK
Other
Enumeration date
08/14/2017
Last updated
08/14/2017
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