Sam'S Crossroads Optical
Technician/Technologist, Optician in Oklahoma City, OK. Organization (NPI-2).
NPI number1386814432
StatusActive
Last updated in NPPESMar 7, 2008
Details
- NPI
- 1386814432
- Entity type
- Organization (NPI-2)
- Legal business name
- Sam'S Crossroads Optical
- Organization subpart
- No
- Enumeration date
- Mar 5, 2008
- Last updated
- Mar 7, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | – | – | Yes |
Other names
- Sam'S Optical (Other Name)
Practice location
1078 Crossroads MallSte D
Oklahoma City, OK 73149-4202
Phone 405-631-7558
Mailing address
1078 Crossroads MallSte D
Oklahoma City, OK 73149-4202
Phone 405-631-7558
Authorized official
Sam J Edwards
Optican
4056317558
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