Organization
THE OPTICAL SHOP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON BAKER (OWNER)
(405) 343-3574
Entity
Organization
Contact information
Practice address
826 N PORTER AVE, NORMAN, OK 73071-6403
(405) 364-4500
Mailing address
826 N PORTER AVE, NORMAN, OK 73071-6403
(405) 364-4500
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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