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Contact Information

SHELLY RICE OD PC INC
512 E CHEROKEE ST
WAGONER, OK74467-4710
 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

NPI Profile & details for SHELLY RICE OD PC INC

NPI Number 1932389145
LBN Legal business name SHELLY RICE OD PC INC
Authorized official SHELLY RICE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/06/2007
Last updated 04/30/2025 - More than a year ago
Identifiers
OK License # 2284
OK Medicaid 100761650B
OK Medicaid 200325640A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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