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Contact Information

JOHN D EDWARDS, OD
101 N RANDALL AVE
ELK CITY, OK73644-5231
 Phone: 580-225-1980
 Fax: 580-225-8648
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for JOHN D EDWARDS · (Male)

NPI Number 1821059940
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 03/29/2006
Last updated 07/26/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 958
  • OK Medicaid 100759880B
  • OK Other 731122948002 BLUE CROSS BLUE SHIELD
  • OK Other 731122948002 DEPT OF REHABILITATIVE SE
  • OK Other 410027999 RAILROAD PROVIDER #
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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