NPI 1396861654

Heritage Park Eye Care Center

Organisation Eyewear Supplier Midwest City, OK

Practice location

Address: 6912 E Reno Ave Suite 101, Midwest City, OK 73110-2162
Phone: (405) 732-2277
Fax: (405) 737-4776

Authorised official

Name: Bob Baldwin
Title: Optometrist
Phone: (405) 732-2277

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence 758 (OK)

Other Eyewear Supplier providers in Oklahoma →

Registry record

NPI: 1396861654
Entity type: Organization
NPI issued: 21 Mar 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.