Organization
SAM'S OPTICAL, PENN SQUARE, LLC
Active
Other names
Sam's Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHELLY BERTIN (CO-OWNER)
(405) 631-7558
Entity
Organization
Contact information
Practice address
1900 NW EXPRESSWAY STE R1-114, OKLAHOMA CITY, OK 73118-1802
(405) 631-7558
(405) 631-0615
Mailing address
1900 NW EXPRESSWAY STE R1-114, OKLAHOMA CITY, OK 73118-1802
(405) 631-7558
(405) 631-0615
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
01/09/2009
Last updated
01/09/2009
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