| NPI | 1003022773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LONNIE B. MASTERS Owneroptician 405-341-6588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2010-05-20 |