Whalio Doctors

NPI 1356470975

Robert Dale Head, OD

Practitioner Optometrist Lawton, OK

Practice location

Address
1302 SW C Ave, Lawton, OK 73501-4243
Phone
(580) 355-1298
Fax
(580) 581-7201

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 1049 (OK)

Registry record

NPI
1356470975
Entity type
Individual
Sex (as registered)
Male
NPI issued
2 Mar 2007
Record last updated
8 Mar 2012

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.