| NPI | 1114953197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE ARCHER BENNETT Owner/Optometrist 918-336-4068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OK 1189) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2007-11-19 |