Organization
FAMILY VISION TRENDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD BAGG (OWNER)
(405) 329-3937
Entity
Organization
Contact information
Practice address
1021 24TH AVE NW, NORMAN, OK 73069-6365
(405) 329-3937
(405) 329-3556
Mailing address
1021 24TH AVE NW, NORMAN, OK 73069-6365
(405) 329-3937
(405) 329-3556
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2384
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200016870A
—
OK
05
—
200195950A
—
OK
01
—
241332202
PTAN GROUP
—
Enumeration date
12/20/2006
Last updated
10/31/2013
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