Provider Demographics
NPI:1134420763
Name:ASTRO SYSTEMS LLC
Entity type:Organization
Organization Name:ASTRO SYSTEMS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:LEON
Authorized Official - Last Name:MESHEW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-275-7945
Mailing Address - Street 1:219 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:OK
Mailing Address - Zip Code:74801-7009
Mailing Address - Country:US
Mailing Address - Phone:405-275-7945
Mailing Address - Fax:405-275-2547
Practice Address - Street 1:219 E MAIN ST
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:OK
Practice Address - Zip Code:74801-7009
Practice Address - Country:US
Practice Address - Phone:405-275-7945
Practice Address - Fax:405-275-2547
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-12
Last Update Date:2010-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier