Edwards, John D

Edwards, John D is an individual health care provider with primary practice located at 101 N Randall Ave , Elk City OK 73644-5231. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Edwards, John D can be contacted via phone (580) 225-1980.

Contact Information

Primary practice address
101 N Randall Ave Elk City OK 73644-5231
Phone: (580) 225-1980
Fax: (580) 225-8648
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 958 Oklahoma

Profile Details

NPI number 1821059940
LBN Legal business name Edwards, John D
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Jul 26th, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821059940 NPPES
Oklahoma Other 731122948002 DEPT OF REHABILITATIVE SE
Oklahoma Other 410027999 DEPT OF REHABILITATIVE SE
Oklahoma MEDICAID 100759880B DEPT OF REHABILITATIVE SE
Oklahoma Other 731122948002 DEPT OF REHABILITATIVE SE

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