Individual
DR. CHRIS J FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6303 NW 23RD ST, BETHANY, OK 73008-5931
(405) 782-0300
(405) 782-0302
Mailing address
6303 NW 23RD ST, BETHANY, OK 73008-5931
(405) 782-0300
(405) 782-0302
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1133
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200007160B
—
OK
01
—
249605401
AFFORDABLE PRICE VISION CTR., INC. MEDICARE
OK
Enumeration date
12/15/2005
Last updated
06/16/2009
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