Nolan, J Dean

Nolan, J Dean is an individual health care provider with primary practice located at 3414 Nw Cache Rd Ste E , Lawton OK 73505-3877. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Nolan, J Dean can be contacted via phone (580) 353-2015.

Contact Information

Primary practice address
3414 Nw Cache Rd Ste E Lawton OK 73505-3877
Fax: (580) 353-2022
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1091 Oklahoma

Profile Details

NPI number 1558379669
LBN Legal business name Nolan, J Dean
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Feb 17th, 2012 - about 12 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 1558379669 NPPES
Oklahoma MEDICAID 100765020A
Oklahoma Other 1780858464

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