Healthcare Provider Details

I. General information

NPI: 1396132494
Provider Name (Legal Business Name): TNT EYEGLASSESFORLESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2015
Last Update Date: 04/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 S PERKINS RD
STILLWATER OK
74074-3651
US

IV. Provider business mailing address

3500 LOCUST
GLENCOE OK
74032-1198
US

V. Phone/Fax

Practice location:
  • Phone: 405-743-0360
  • Fax: 405-743-3316
Mailing address:
  • Phone: 580-370-9331
  • Fax: 405-743-3316

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number332H00000X
License Number StateOK

VIII. Authorized Official

Name: MR. BRIAN LEON BARTON
Title or Position: OWNER
Credential:
Phone: 580-370-9331