Individual
MR. CODY BENTON MASTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
920 S BRYANT AVE STE 101, EDMOND, OK 73034-5803
(405) 341-6588
(405) 348-9537
Mailing address
920 S BRYANT AVE STE 101, EDMOND, OK 73034-5803
(405) 341-6588
(405) 348-9537
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
02/10/2010
Last updated
02/10/2010
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