Provider Demographics
NPI:1396132494
Name:TNT EYEGLASSESFORLESS
Entity type:Organization
Organization Name:TNT EYEGLASSESFORLESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:LEON
Authorized Official - Last Name:BARTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-370-9331
Mailing Address - Street 1:3500 LOCUST
Mailing Address - Street 2:
Mailing Address - City:GLENCOE
Mailing Address - State:OK
Mailing Address - Zip Code:74032-1198
Mailing Address - Country:US
Mailing Address - Phone:580-370-9331
Mailing Address - Fax:405-743-3316
Practice Address - Street 1:205 S PERKINS RD
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:OK
Practice Address - Zip Code:74074-3651
Practice Address - Country:US
Practice Address - Phone:405-743-0360
Practice Address - Fax:405-743-3316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-16
Last Update Date:2015-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK332H00000X332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier