person
Mr. Sam J Edwards JR., OPTICIAN
Optician in Oklahoma City, Oklahoma
NPI 1255530754

Sam J Edwards JR. is a Optician based in Oklahoma City, OK and is specialized in Optician. Sam J Edwards JR. practices in Oklahoma City, OK and has the professional credentials of OPTICIAN. The NPI Number for Sam J Edwards JR. is 1255530754 and holds a License No. (Oklahoma).

The current practice location address for Sam J Edwards JR. is 1078 Crossroads Mall Ste D, Oklahoma City, OK and can be reached out via phone at 405-631-7558 and via fax at 405-631-0615. You can also correspond with Sam J Edwards JR. through the mailing address at 1078 CROSSROADS MALL STE D, OKLAHOMA CITY, OK - 73149-4202 (mailing address contact number: 405-631-7558).

Location: 1078 Crossroads Mall Ste D, Oklahoma City, OK, 73149-4202
person
Provider Profile Details
NPI Number
1255530754
Provider Name
Sam J Edwards JR.
Credential
OPTICIAN
Provider Entity Type
Individual
Gender
Female
Address
1078 Crossroads Mall Ste D, Oklahoma City, OK, 73149-4202
Phone Number
405-631-7558
Fax Number
405-631-0615
Provider Enumeration Date
07/13/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
100761320A 05 OK
institution
Provider Business Practice Location Address Details
Address
1078 Crossroads Mall Ste D
City
State
Zip
73149-4202
Phone Number
405-631-7558
Fax Number
405-631-0615
person
Provider Business Mailing Address Details
Address
1078 Crossroads Mall Ste D
City
State
Zip
73149-4202
Phone Number
405-631-7558
Fax Number
405-631-0615
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
()
Definition
Definition to come...
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