Organization
OWASSO EYE INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA HULL (ADMINISTRATOR)
(918) 747-3937
Entity
Organization
Contact information
Practice address
12455 E 100TH ST N, SUITE 110, OWASSO, OK 74055-4600
(918) 274-7100
(918) 274-7128
Mailing address
12455 E 100TH ST N, SUITE 110, OWASSO, OK 74055-4600
(918) 274-7100
(918) 274-7128
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2300
OK
Other
Enumeration date
02/26/2007
Last updated
11/21/2008
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