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Contact Information

ETHAN G CHANDLER, OD
11920 S MEMORIAL DR
BIXBY, OK74008-2170
 Phone: 316-650-9939
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ETHAN G CHANDLER · (Male)

NPI Number 1184553554
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 05/14/2026
Last updated 05/14/2026 - About 3 weeks ago
Sole proprietor 1 No
Identifiers
  • OK License # STUDENT
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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