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Contact Information

ORLANDO A DIAZ, OD
660 SW 19TH ST STE G
MOORE, OK73160-5406
 Phone: 405-794-0176
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ORLANDO A DIAZ · (Male)

NPI Number 1396790671
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 05/24/2006
Last updated 09/20/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • OK License # 1153
  • OK Medicaid 100761630A
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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