| NPI | 1760652507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY ALLEN FIELDING Owner 918-358-2245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: OK 1027) |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2011-06-09 |