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Contact Information

CEDRICK MAH, OD
1001 N GRAND AVE
TAHLEQUAH, OK74464-7017
 Phone: 918-444-4000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Low Vision Rehabilitation

152WL0500X 41 Optometry
Indicates primary specialty

NPI Profile & details for CEDRICK MAH · (Male)

NPI # 1093447898
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 06/29/2022
Last updated 11/09/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 3179
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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