Provider Demographics
NPI:1932086758
Name:VICTORY VISION
Entity type:Organization
Organization Name:VICTORY VISION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:KELSEY
Authorized Official - Middle Name:RAE
Authorized Official - Last Name:YBARRA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:580-318-3313
Mailing Address - Street 1:1220 E ROBINSON ST
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-3602
Mailing Address - Country:US
Mailing Address - Phone:580-318-3313
Mailing Address - Fax:
Practice Address - Street 1:1220 E ROBINSON ST
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-3602
Practice Address - Country:US
Practice Address - Phone:580-318-3313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-21
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty