Individual
DR. BRETT M ENYART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6140 S MEMORIAL DR, TULSA, OK 74133-1933
(918) 252-2020
(918) 252-7466
Mailing address
6140 S MEMORIAL DR, TULSA, OK 74133-1933
(918) 252-2020
(918) 252-7466
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2301
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100763330A
—
OK
01
—
410045748
MEDICARE ID
OK
01
—
CO5028
MEDICARE ID
OK
Enumeration date
06/23/2005
Last updated
05/26/2020
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