Crissup, Lacy Nicole

Crissup, Lacy Nicole is an individual health care provider with primary practice located at 212 E Blue Starr Dr , Claremore OK 74017-4223. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Crissup, Lacy Nicole can be contacted via phone (918) 341-8211.

Contact Information

Primary practice address
212 E Blue Starr Dr Claremore OK 74017-4223
Fax: (918) 341-8233
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2600 Oklahoma

Profile Details

NPI number 1851521819
LBN Legal business name Crissup, Lacy Nicole
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2009
Last updated Jul 23rd, 2009 - about 15 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.

Request for update

Popular Providers