Organization
PORTLAND OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIA NEWPORT (OPTICIAN)
(405) 942-1010
Entity
Organization
Contact information
Practice address
5600 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2023
(405) 942-1010
(405) 942-0115
Mailing address
5600 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2023
(405) 942-1010
(405) 942-0115
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
F
OK
Other
Enumeration date
03/20/2007
Last updated
07/21/2022
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