NPI | 1760608509 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRIS J FRY Owner President 405-782-0300 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: OK 1133) |
Additional Taxonomies | 152W00000X Optometrist (Licence: OK 1133) |
Enumeration Date | 2007-04-18 |
Last Update Date | 2020-08-22 |