| NPI | 1740453661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF B CARR Owner 580-223-5333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: OK 136041) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2008-04-11 |