IndividualActive
Laurie Real
NPI 1447537287 · Optician · Konawa, OK
Provider details
- NPI number
- 1447537287
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
401 S Madison St
Konawa, OK 74849-2631
Phone: (580) 933-6597
Approximate (ZIP-level) locationGet directions
Mailing address
1300 S Mekusukey Ave
Wewoka, OK 74884-3643
Registry dates
- Enumerated
- 2011-11-08
- Last updated
- 2011-11-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.