| NPI | 1184863334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDHAN M FRITTS Optometrist 580-255-1346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OK 2695) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: TX 6860T) |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2012-05-03 |