| NPI | 1194920652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE TED DAKIL O PT Ician Owner 918-251-6442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: OK 131654) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2020-08-22 |