LA FUENTE OCULAR PROSTHETICS NPI 1114193604

NPI Information

LA FUENTE OCULAR PROSTHETICS is a technician other in Oklahoma City, OK. The provider is a collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. LA FUENTE OCULAR PROSTHETICS NPI is 1114193604. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1116 N ROBINSON AVE
OKLAHOMA CITY, OK
ZIP 73103-918
Phone: (405) 236-2882
Fax: (405) 236-3335

The provider's authorized official is Brandon La Fuente .
The authorized official title is Manager and has the following contact phone number (405) 236-2882.

The enumeration date for this NPI number is 5/5/2008 and was last updated on 5/5/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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