| NPI | 1164557625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BRIAN CHEATHAM Optometrist 918-743-6334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: OK 2356) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2008-08-28 |