Organization
SAM'S OPTICAL, OKLAHOMA CITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT JACOB EDWARDS (OWNER)
(405) 778-6227
Entity
Organization
Contact information
Practice address
500 W I 240 SERVICE RD, OKLAHOMA CITY, OK 73139-4400
(405) 778-6227
Mailing address
500 W I 240 SERVICE RD, OKLAHOMA CITY, OK 73139-4400
(405) 778-6227
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
06/25/2009
Last updated
06/25/2009
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