NPI 1881872760

Pamela J Poland MD

Organisation Eyewear Supplier Ponca City, OK

Practice location

Address: 400 Fairview Ave - Suite 18, Ponca City, OK 74601-1920
Phone: (580) 762-5696
Fax: (580) 762-7622
Mailing address: 400 Fairview Ave STE 18, Ponca City, OK 74601-1910

Authorised official

Name: Pamela J Poland
Title: Owner
Phone: (580) 762-5696

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence 17919 (OK)

Other Eyewear Supplier providers in Oklahoma →

Registry record

NPI: 1881872760
Entity type: Organization
NPI issued: 4 Feb 2008
Record last updated: 13 Mar 2013

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.