| NPI | 1992270979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN MARTIN Physician/Owner 405-533-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2018-10-05 |