| NPI | 1235315987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE LEDBETTER Optometrist 405-794-3588 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: OK 1180) |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2008-01-11 |