MEDICARE: COMPTON SHOE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881672707
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPTON SHOE INC

Provider Business Mailing Address
First Line	:	3703 NW 50TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-2553
Country	:	US
Telephone Number	:	405-946-3668
Fax Number	:	405-946-1650

Provider Business Practice Location Address
First Line	:	3703 NW 50TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-2553
Country	:	US
Telephone Number	:	405-946-3668
Fax Number	:	405-946-1650

Authorized Official
Title or Position	:	CEO
Name	:	MR. HARLON DAVID COMPTON
Credential	:	CPED MED BS
Telephone Number	:	405-946-3668

Provider Enumeration Date	:	01/03/2006
Last Update Date	:	04/28/2023

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Directions to “COMPTON SHOE INC ” Practice Location

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