Organization
CHICKASAW NATION DIVISION OF COMMERCE
Active
Other names
Oklahoma Optical
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS THARP (EXECUTIVE OFFICER)
(580) 421-8777
Entity
Organization
Contact information
Practice address
1005 N COUNTRY CLUB RD, ADA, OK 74820-2847
(580) 332-2796
(580) 332-3360
Mailing address
1005 N COUNTRY CLUB RD, ADA, OK 74820-2847
(580) 332-2796
(580) 332-3360
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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