Elise R Bolay Valid NPI
Individual provider · Optometrist · Edmond, OK
- NPI
- 1770916058
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- 2765 (OK)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2013-08-09
- Last updated
- 2013-08-09
Practice location
833 E 33rd St
Edmond, OK 73013-5407
(405) 216-5508