Organization
DR. ARLYN R. FANSLER, OPTOMETRIST, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARLYN FANSLER (OWNER/OPTOMETRIST)
(580) 772-7704
Entity
Organization
Contact information
Practice address
621 E TOM STAFFORD ST, WEATHERFORD, OK 73096-5431
(580) 772-7704
Mailing address
621 E TOM STAFFORD ST, WEATHERFORD, OK 73096-5431
(580) 772-7704
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
820
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100761310A
—
OK
Enumeration date
02/04/2010
Last updated
08/13/2010
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