Vision Source Altus PLLC

Optometrist · Altus, OK

Organization Active NPI

NPI number 1770823072

Practice location

112 Val Verde St
Altus, OK 73521-1190
Phone
(580) 482-0051
Fax
(580) 482-7746

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NPI record

NPI
1770823072
Entity type
Organization (Type 2)
Enumeration date
February 22, 2013
Last updated
January 3, 2014
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X — —

Mailing address

112 Val Verde St Ste C
Altus, OK 73521-1190
Phone
(580) 482-0051
Fax
(580) 482-7746

Authorized official

Name
Dr. Steven A. Gifford, O.D.
Title
Owner -Optometrist
Phone
(580) 482-0051

About Vision Source Altus PLLC

Vision Source Altus PLLC is a healthcare organization registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 112 Val Verde St, Altus, OK 73521-1190. The NPI number 1770823072 was assigned on February 22, 2013 and the record was last updated on January 3, 2014.

The authorized official for this organization is Dr. Steven A. Gifford, O.D., Owner -Optometrist.

Frequently asked questions

What is the NPI number of Vision Source Altus PLLC?

The NPI number is 1770823072.

What is the phone number of Vision Source Altus PLLC?

The phone number listed for the practice location is (580) 482-0051.

Where is Vision Source Altus PLLC located?

112 Val Verde St, Altus, OK 73521-1190.

What is the taxonomy code for Vision Source Altus PLLC?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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