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Contact Information

HAYDEN D BLACK, OD
900 W MAIN ST
HENRYETTA, OK74437-4252
 Phone: 918-652-2345
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for HAYDEN D BLACK · (Male)

NPI # 1184294464
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 06/29/2021
Last updated 10/06/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 3112
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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