Organization
SAMS OPTICAL OKLAHOMA CITY
Active
Other names
SAMS OPTICAL OKLAHOMA CITY
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHELLY F BERTIN (CO-OWNER)
(405) 631-7560
Entity
Organization
Contact information
Practice address
500 W I 240 SERVICE RD, OKLAHOMA CITY, OK 73139-4400
(405) 778-6227
(405) 778-6228
Mailing address
500 W I 240 SERVICE RD, OKLAHOMA CITY, OK 73139-4400
(405) 778-6227
(405) 778-6228
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200235630A
—
OK
Enumeration date
12/24/2008
Last updated
07/11/2012
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