SHELLY RICE OD PC INC, Optometrist WAGONER, OK

Contact Information

SHELLY RICE OD PC INC

512 E CHEROKEE ST
WAGONER, OK 74467-4710

Phone: 918-485-4775
Fax: 918-485-7611
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Optometrist	152W00000X	41	Optometry
Corneal and Contact Management	152WC0802X	41	Optometry
Eyewear Supplier	332H00000X	87	All Other Suppliers
Low Vision Rehabilitation	152WL0500X	41	Optometry
Occupational Vision	152WX0102X	41	Optometry
Pediatrics	152WP0200X	41	Optometry
Sports Vision	152WS0006X	41	Optometry
Vision Therapy	152WV0400X	41	Optometry

Indicates primary specialty

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NPI Profile & details for SHELLY RICE OD PC INC · (Female)

NPI Number	`1932389145`
Status	Active
Credentials
Entity	Individual
Enumeration date	11/06/2007
Last updated	04/30/2025 - More than a year ago
Sole proprietor ¹	Not specified
Identifiers	OK License # 2284 OK Medicaid 100761650B OK Medicaid 200325640A
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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SHELLY RICE OD PC INCOptometrist

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NPI Profile & details for SHELLY RICE OD PC INC · (Female)

Reviews for SHELLY RICE OD PC INC

SHELLY RICE OD PC INC
Optometrist