Padgham, Brian A.

Padgham, Brian A. is an individual health care provider with primary practice located at 110 E Harrison Ave , Guthrie OK 73044-4839. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Padgham, Brian A. can be contacted via phone (405) 282-4396.

Contact Information

Primary practice address
110 E Harrison Ave Guthrie OK 73044-4839
Phone: (405) 282-4396
Fax: (405) 282-8298
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2493 Oklahoma

Profile Details

NPI number 1073611505
LBN Legal business name Padgham, Brian A.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Oct 11th, 2010 - about 14 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 1073611505 NPPES
Oklahoma MEDICAID 200101850A

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