Individual
DENISE RODDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
6351 E. 67TH PL., TULSA, OK 74136-3506
(918) 497-2002
(918) 497-2022
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1185
OK
152WC0802X
Corneal and Contact Management Optometrist
1185
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100762210A
—
OK
Enumeration date
09/06/2006
Last updated
04/14/2022
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