| NPI | 1376756809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY WILLIAM FIELDING Owner President 405-341-3567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OK OK1080) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2008-03-25 |