Organization
STERLING BRYANT DAWSON
Active
Other names
QUALITY OPTICAL SERVICE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STERLING B DAWSON JR. (OWNER)
(580) 436-0243
Entity
Organization
Contact information
Practice address
210 E MAIN ST, ADA, OK 74820-5604
(580) 436-0243
(580) 436-0243
Mailing address
PO BOX 607, ADA, OK 74821-0607
(580) 436-0243
(580) 436-0243
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100812580A
—
OK
Enumeration date
04/10/2007
Last updated
06/17/2008
Update your record
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