# NORTH EAST FAMILY EYECARE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205977394
- **Authorized official:** DR. OLIN W FENTON OD (OWNER DOCTOR)
- **Authorized official phone:** (903) 244-2889

## Contact information

- **Practice address:** 200 DALLAS ST, TALIHINA, OK 74571-2402
- **Practice address phone:** (903) 244-2889
- **Practice address fax:** (918) 567-3240
- **Mailing address:** 200 DALLAS ST, TALIHINA, OK 74571-2402
- **Mailing address phone:** (903) 244-2889
- **Mailing address fax:** (918) 567-3240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WL0500X | Low Vision Rehabilitation Optometrist | 6474TG | TX | Yes |

## Other

- **Enumeration date:** 02/09/2007
- **Last updated:** 08/10/2011