Charles H Vanaki, O.D. Valid NPI
Individual provider · Optometrist · Edmond, OK
- NPI
- 1770896201
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- OK2671 (OK)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2010-07-26
- Last updated
- 2021-12-08
Practice location
2200 W Danforth Rd
Edmond, OK 73003-4602
(405) 249-4498