| NPI | 1982625703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL E. BENNETT President 405-282-4396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2008-02-04 |