NPI | 1356348783 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRIS J FRY Optometrist Co Owner 405-632-9749 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: OK 809) |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: OK 809) |
Enumeration Date | 2005-06-30 |
Last Update Date | 2008-10-01 |