Organization Name: | MID-DEL VISION SOURCE, PLLC |
NPI Number: | 1982940508 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHELLE STRICKLIN (ASST. DIRECTOR OF OPERATIONS) |
Mailing Address: | 2008 S Post Rd Midwest City |
State: | OK US |
Postal Code: | 731306610 |
Phone Number: | 4057322277 |
Fax Number: | 4057374776 |
NPI Enumeration Date: | 12/31/2012 |
NPI Last Update Date: | 01/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |