Organization · NPI-2

Advanced Optical LLC

Durable Medical Equipment & Medical Supplies · Oklahoma City, OK

NPI number1457570566
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1457570566
Entity type
Organization (NPI-2)
Legal business name
Advanced Optical LLC
Organization subpart
No
Enumeration date
Apr 25, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies17979OKYes

Practice location

11308 N Pennsylvania Ave
Oklahoma City, OK 73120-7752

Phone 405-755-7700 · Fax 405-755-7739

Mailing address

11308 N Pennsylvania Ave
Oklahoma City, OK 73120-7752

Phone 405-755-7700 · Fax 405-755-7739

Authorized official

Michael Lewis
Office Manager
4057557700

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