| Organization Name: | OGLES OXYGEN, LLC |
| NPI Number: | 1245255066 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MATTHEW S. MELLOTT (CFO) |
| Mailing Address: | 691 North Historic Highway 441 Suite 2 Demorest |
| State: | GA US |
| Postal Code: | 30535 |
| Phone Number: | 7068391845 |
| Fax Number: | 7068391847 |
| NPI Enumeration Date: | 07/13/2006 |
| NPI Last Update Date: | 11/14/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 175540270 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |