NPI 1811348766

Envision Medical & Surgical Eye Care PC

Organisation Ophthalmology Physician Broken Arrow, OK

Practice location

Address: 4926 W Kenosha St, Broken Arrow, OK 74012-8517
Phone: (918) 605-7456
Fax: (918) 893-1724

Authorised official

Name: Miranda Kirsten Renfrow
Title: President
Phone: (918) 605-7456

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 4949 (OK)

Other Ophthalmology providers in Oklahoma →

Registry record

NPI: 1811348766
Entity type: Organization
NPI issued: 22 Jun 2016
Record last updated: 22 Jun 2016

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.