NPI 1003022773

Edmond Optical Shop, INC.

Organisation Eyewear Supplier Edmond, OK

Practice location

Address: 920 S Bryant Ave Suite 101, Edmond, OK 73034-5797
Phone: (405) 341-6588
Fax: (405) 348-9537

Authorised official

Name: Lonnie B. Masters
Title: Owneroptician
Phone: (405) 341-6588

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Oklahoma →

Registry record

NPI: 1003022773
Entity type: Organization
NPI issued: 16 May 2007
Record last updated: 20 May 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.