James Larry Charles, OD Valid NPI
Individual provider · Optometrist · Edmond, OK
- NPI
- 1184681306
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- OK2094 (OK)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-05-01
- Last updated
- 2008-07-17
Practice location
523 S Santa Fe Ave, Ste A
Edmond, OK 73003-6291
(405) 330-1100