NPI | 1114103553 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES M. NELSON Owner/Optometrist 918-683-1021 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: OK 2019) |
Enumeration Date | 2008-01-16 |
Last Update Date | 2008-08-27 |