Roddy, Denise
Roddy, Denise is an individual health care provider with primary practice located at 6351 E. 67Th Pl. , Tulsa OK 74136-3506. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Roddy, Denise can be contacted via phone (918) 497-2002.Contact Information
Primary practice address
6351 E. 67Th Pl.
Tulsa OK 74136-3506
Phone: (918) 497-2002
Fax: (918) 497-2022
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 1185 | Oklahoma |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1185 | Oklahoma |
Profile Details
| NPI number | 1013010289 |
|---|---|
| LBN Legal business name | Roddy, Denise |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2006 |
| Last updated | Apr 14th, 2022 - about 3 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 | 1013010289 | NPPES |
| Oklahoma | MEDICAID | 100762210A |
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