Riley, Judith Ann

Riley, Judith Ann is an sole proprietor health care provider with primary practice located at 1402 N. Sioux , Claremore OK 74017. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Riley, Judith Ann can be contacted via phone (918) 341-3284.

Contact Information

Primary practice address
1402 N. Sioux Claremore OK 74017
Fax: (918) 341-3127
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 965 Oklahoma

Profile Details

NPI number 1609879238
LBN Legal business name Riley, Judith Ann
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2005
Last updated Jan 26th, 2017 - about 7 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 1609879238 NPPES
Oklahoma Other 5764055 AETNA
Oklahoma Other 2226424 AETNA
Oklahoma MEDICAID 100759950D AETNA

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