Provider Demographics
NPI:1528406485
Name:ACCUTECH LABORATORIES, INC.
Entity Type:Organization
Organization Name:ACCUTECH LABORATORIES, INC.
Other - Org Name:ACCUVISION EYEWEAR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:D
Authorized Official - Last Name:DEMAIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-695-3487
Mailing Address - Street 1:5565 NW EXPRESSWAY
Mailing Address - Street 2:
Mailing Address - City:WARR ACRES
Mailing Address - State:OK
Mailing Address - Zip Code:73132-5230
Mailing Address - Country:US
Mailing Address - Phone:405-603-2956
Mailing Address - Fax:405-603-2986
Practice Address - Street 1:5565 NW EXPRESSWAY
Practice Address - Street 2:
Practice Address - City:WARR ACRES
Practice Address - State:OK
Practice Address - Zip Code:73132-5230
Practice Address - Country:US
Practice Address - Phone:405-603-2956
Practice Address - Fax:405-603-2986
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-12
Last Update Date:2013-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier