CHAD J EDWARDS, OD, Optometrist OWASSO, OK

Contact Information

CHAD J EDWARDS, OD

12455 E 100TH ST N # 110
OWASSO, OK 74055-4600

Phone: 918-274-7100
Fax: 918-584-4479
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Optometrist	152W00000X	41	Optometry

Indicates primary specialty

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NPI Profile & details for CHAD J EDWARDS · (Male)

NPI #	`1063436079`
Status	Active
Credentials	OD (Doctor of Optometry)
Entity	Individual
Enumeration date	07/26/2006
Last updated	12/01/2010 - About 16 years ago
Sole proprietor ¹	No
Identifiers	OK License # 2300 OK Medicaid 100763950A
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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