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Contact Information

THOMAS H BERENSON, OD
3300 S ASPEN AVE
SUITE D
BROKEN ARROW, OK74012-7501
 Phone: 918-451-2020
 Fax: 918-449-9086
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for THOMAS H BERENSON · (Male)

NPI Number 1942280896
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 01/18/2006
Last updated 05/06/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 795
  • OK Medicaid 100765420A
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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