NPI:
1699951756
Provider Name:
OAK CREEK OPTICAL
Other Name: RICHARD D. GROSSNICKLE, M.D.
Classification:
Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type:
Organization
Specialization: Customized Equipment
Address:
2615 NE LOOP 286
PARIS, TX
ZIP 75460
Phone:
(903) 785-0443
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OAK CREEK OPTICAL is a customized equipment durable medical equipment medical supplies in Paris, TX. OAK CREEK OPTICAL NPI is 1699951756. The provider is registered as an organization entity type.
The provider Other Name Is Richard D. Grossnickle, M.d..
The provider's business location address is:
2615 NE LOOP 286
PARIS, TX
ZIP 75460-444
Phone: (903) 785-0443
Fax: (903) 785-2947
The provider's authorized official is A Lisa Grossnickle .
The authorized official title is Office Manager and has the following contact phone number (903) 785-0443.
The enumeration date for this NPI number is 1/18/2008 and was last updated on 3/10/2008.