IndividualActive
Kennith Butler
NPI 1942346150 · Optician · Mustang, OK
Provider details
- NPI number
- 1942346150
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
123 N Mustang Rd
Mustang, OK 73064-3912
Phone: (405) 376-0222
Fax: (405) 376-0233
Approximate (ZIP-level) locationGet directions
Mailing address
123 N Mustang Rd
Mustang, OK 73064-3912
Registry dates
- Enumerated
- 2007-01-29
- Last updated
- 2024-05-06
- Certified
- 2024-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.