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 |