Organization
SAM'S OPTICAL, OKLAHOMA CITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY BERTIN (OWNER)
(405) 631-7560
Entity
Organization
Contact information
Practice address
1078D CROSSROADS MALL, OKLAHOMA CITY, OK 73149
(405) 631-7560
Mailing address
1078D CROSSROADS MALL, OKLAHOMA CITY, OK 73149
(405) 631-7560
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
11/06/2008
Last updated
11/06/2008
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