| Organization Name: | NORTH EAST FAMILY EYECARE PC |
| NPI Number: | 1205977394 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | OLIN W FENTON (OWNER DOCTOR) |
| Mailing Address: | 200 Dallas St Talihina |
| State: | OK US |
| Postal Code: | 745712402 |
| Phone Number: | 9032442889 |
| Fax Number: | 9185673240 |
| NPI Enumeration Date: | 02/09/2007 |
| NPI Last Update Date: | 08/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WL0500X |
| License Number: | 6474TG |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Optometrist |
| Taxonomy Specialization: | Low Vision Rehabilitation |
| Taxonomy Definition: | Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. |