| NPI | 1588807028 |
|---|---|
| Doing Business As | CLASSIC VISION |
| Entity Type | Organization |
| Authorized Contact | JACOB TYLER SMITH Optometrist 405-447-5001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OK 2503) |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2010-12-01 |