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Organization

SAM'S OPTICAL WEST LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHELLY BERTIN (CO-OWNER)
(405) 387-4700
Entity
Organization

Contact information

Practice address
3383 N MERIDIAN AVE, NEWCASTLE, OK 73065-3634
(405) 387-4700
Mailing address
3383 N MERIDIAN AVE, NEWCASTLE, OK 73065-3634

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary

Other

Enumeration date
10/24/2014
Last updated
10/24/2014
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