| NPI | 1922252766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY BERTIN Owner 405-631-7560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2008-11-06 |