IndividualActive
Brandon Crosthwait, BSRT RDMS RVT RDCS
NPI 1811743586 · Technician/Technologist · Shawnee, OK
Provider details
- NPI number
- 1811743586
- Entity type
- Individual
- Primary specialty
- Technician/TechnologistEye and Vision Services Providers
- Credential
- BSRT RDMS RVT RDCS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 103654 (OK)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
3315 Kethley Rd
Shawnee, OK 74804-9638
Phone: (405) 273-5801
Approximate (ZIP-level) locationGet directions
Mailing address
3315 Kethley Rd
Shawnee, OK 74804-9638
Registry dates
- Enumerated
- 2024-04-24
- Last updated
- 2024-04-24
- Certified
- 2024-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.