Murrell, Stacey
Murrell, Stacey is an individual health care provider with primary practice located at 521 S Aspen Ave , Broken Arrow OK 74012-2296. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Murrell, Stacey can be contacted via phone (918) 258-9999.Contact Information
Primary practice address
521 S Aspen Ave
Broken Arrow OK 74012-2296
Phone: (918) 258-9999
Fax: (918) 258-2850
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OK2345 | Oklahoma |
Profile Details
| NPI number | 1619984481 |
|---|---|
| LBN Legal business name | Murrell, Stacey |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2006 |
| Last updated | Apr 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619984481 | NPPES |
| Oklahoma | MEDICAID | 100762280A |
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