Chenoweth, Christopher Ray
Chenoweth, Christopher Ray is an sole proprietor health care provider with primary practice located at 502 E Prospect Ave , Ponca City OK 74601-7404. He recently has 5 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Suppliers / Eyewear Supplier (Equipment, not the service), Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Chenoweth, Christopher Ray can be contacted via phone (580) 765-7509.Contact Information
Primary practice address
502 E Prospect Ave
Ponca City OK 74601-7404
Phone: (580) 765-7509
Fax: (580) 765-2886
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 2154 | Oklahoma |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 2154 | Oklahoma |
| Eye and Vision Services Providers / Sports Vision | 152WS0006X | 2154 | Oklahoma |
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X | 2154 | Oklahoma |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2154 | Oklahoma |
Profile Details
| NPI number | 1750300992 |
|---|---|
| LBN Legal business name | Chenoweth, Christopher Ray |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Dec 5th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750300992 | NPPES |
| Oklahoma | MEDICAID | 100744700A |
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