| NPI | 1861639080 |
|---|---|
| Other Name | SAM'S OPTICAL |
| Entity Type | Organization |
| Authorized Contact | SHELLY BERTIN Co Owner 405-631-7558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2009-01-09 |