Altus Family Vision, PLLC

Organization Active NPI Optometrist · Altus, OK

NPI 1740720333 · NPPES record last updated Mar 1, 2017

Key facts

NPI
1740720333
Entity type
Organization (NPI type 2)
Primary specialty
Optometrist 152W00000X
License
2505 (OK)
Legal business name
ALTUS FAMILY VISION, PLLC
Practice address
112 Val Verde St
Ste C
Altus, OK 73521-1190
Phone
(580) 482-0051
Fax
(580) 482-7746
NPI assigned
Mar 1, 2017
Organization subpart
No

Authorized official

Name
Dr. Amie Straub, OD
Title
Optometrist/Owner
Phone
(580) 482-0051

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist
Group: 193400000X SINGLE SPECIALTY GROUP
152W00000X 2505 OK Yes

Addresses

Primary practice location

112 Val Verde St
Ste C
Altus, OK 73521-1190

Mailing address

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

Other providers in Altus, OK

All providers in Altus, OK · Optometrist in Oklahoma

Sources for this page

Verify at the official NPI Registry.